Email Address: Contact@pretoniconline.com, Phone Number: 01313-657844
Institute Address: Shimulia,Shibpur,Narsingdi
| Applicant Name | -------- | Applicant Name ( Alternate ) | -------- | ||
|---|---|---|---|---|---|
| Applicant Gender |
|
Applicant Religion | -------- | Applicant Blood Group | -------- |
| Applicant Birthday | -------- | Birth Certificate Number | -------- | Contact Number | -------- |
| Student Type | -------- | Financial Status | -------- | ||
| Current Address | -------- | ||||
| Permanent Address | -------- | ||||
| Father's Name | -------- | Father's Name ( Alternate ) | -------- | Father's Profession | -------- |
|---|---|---|---|---|---|
| Father's Mobile | -------- | Father's NID | -------- | Father's Nationality | -------- |
| Mother's Name | -------- | Mother's Name ( Alternate ) | -------- | Mother's Profession | -------- |
|---|---|---|---|---|---|
| Mother's Mobile | -------- | Mother's NID | -------- | Mother's Nationality | -------- |
| Guardian Name | -------- | Guardian Contact Number | -------- | Guardian Relation | -------- |
|---|
| Previous Institute | -------- | ||
|---|---|---|---|
| Previous Department | -------- | Previous Section | -------- |
| Previous Roll | -------- | Previous CGPA | -------- |
| Applicant Department | -------- | Applicant Section | -------- | Applicant Session | -------- |
|---|---|---|---|---|---|
| Admission Fee | -------- | Monthly Fee | -------- | Admission Date | -------- |
আমি ---------------------------- এই মর্মে অধিকার করছি যে, উপরোক্ত বিবরণসমূহ সত্য। আমি Pretonic Education এ ভর্তির জন্য আবেদন করছি। আমি এই প্রতিষ্ঠানের নিয়ম-কানুন মেনে চলব। অন্যথায় কর্তৃপক্ষ কর্তৃক গৃহীত যে কোনো শাস্তি আামি মেনে নিতে বাধ্য থাকিব।
|
............................... Student Signature |
............................... Guardian Signature |
............................... Teacher Signature |
............................... Administrator Signature |