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Online Admission Form
Program Name *
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Diploma in Nursing Science & Midwifery
B.Sc. in Nursing
Post Basic- B.Sc. in Nursing
Government Entry Exam Result *
Session Name *
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2018-19
2019-20
2020-21
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Personal Information
Applicant Name *
Father Name *
Mother Name *
Date Of Birth *
Gender *
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Male
Female
Other
Blood Group *
NID or Birth Certification Number *
Religion *
Marital Status *
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Married
Unmarried
Other
Contact Number Self *
Email Self *
Contact Number Parents *
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Address
Present Address *
Permanent Address *
Local Guardian *
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Academic Information
Secondary School Certificate(SSC) Information *
"SSC Group" *
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Science
Commerce
Arts
Higher Secondary Certificate(HSC) Information *
"HSC Group" *
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Science
Commerce
Arts
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Document Upload
Applicant Photo * (less than 2MB)
Marksheet of SSC (PDF or JPG Format) * (less than 2MB)
Marksheet of HSC (PDF or JPG Format) * (less than 2MB)
NID or Birth Certificate (PDF or JPG Format) * (less than 2MB)
Govt. Entry Exam Admit Card (PDF or JPG Format) * (less than 2MB)
Govt. Entry Exam Result Card (PDF or JPG Format) * (less than 2MB)
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Application Declaration
এই মর্মে অঙ্গীকার করছি যে, ভর্তি হওয়ার সুযোগ পেলে আমি অত্র শিক্ষা প্রতিষ্ঠান এর যাবতীয় আইনকানুন মেনে চলব এবং কোন অবস্থাতেই অত্র শিক্ষা প্রতিষ্ঠান দেশের আইনের পরিপন্থি কোন কাজে লিপ্ত হব না
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