( নিম্নে প্ৰদত্ত সকল তথ্য অবশ্যই বাংলায় পূরণ করতে হবে )

Permanent Address (বাংলায়) *

Present Address

Permanent Address* Same As

Name and address of guardian by law (if father is not alive)

In the name of the local guardian (Name of the committee / teacher / student known in this institution)

Information of the institution where he has studied before:

Optional Subject Only For Fazil 1st Year (Any one subject should be taken as optional subjects from each group)