Admission Form

BNI Admission Form

1. Student Name: *

In Bangla

Upload Applicant's Picture *

max 1MB upload size

2. Father’s Name : *

In Bangla :

Occupation:

Contact Number:

Email *

4. Nationality:

5. Religion *

6. Marital Status

Unmarried
Married
Divorced

7. Date of Birth:

8. Blood Group:

9. Mobile No:

10. NID Number /BC:

11. Place of Birth:

12. Permanent Address: (In Bangla)

H.N/Village: *

Post Office: *

Police Station *

District:

13. Present Address: (In Bangla)

H.N/Village: *

Post Office: *

Police Station: *

District:

14. Responsible Guardian in absence of parents:

Name:

Occupation:

Address:

Mobile No:

15. Educational Qualification:

SSC:

Name of the School:

Board:

Passing Year:

GPA

HSC:

Name of the College:

Board:

Passing Year:

GPA :

16. Do you have any disability or speical needs? (Please describe)

17. Particulars of the financial support provider:

Name:

Relation:

Occupation:

Mobile Number:

Yearly expense:

Address: (In Bangla):

H.N/Village:

Post Office:

Police Station:

District:

Signature of Guardian *

max 1MB upload size

Signature of student *

max 1MB upload size

All information’s given above are true and if found any irregularity or false, any action including cancellation of admission may be taken against me without any notice. In this regard, I’m taking responsibility that, I will obey the rules & regulation of the institute. *

I am agree

Payment Information

● Bkash Account No. 01785-970707. বিকাশে টাকা পাঠালে রেফারেন্সে অবশ্যই আবেদনকারীর SSC Roll নাম্বার দিতে হবে।

● National Bank Limited Account No. 1176004263907 ব্যাংকে টাকা পাঠালে আবেদনকারীকে অবশ্যই নিচের Payment Type অপশন থেকে ব্যাংক সিলেক্ট করে ডিপোজিট স্লিপ অ্যাড করতে হবে।

Payment Method : *