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K¨v›Ub‡g›U Bswjk ¯‹zj GÛ K‡jR PÆMÖvg †mbvwbevm

cÖv_wgK wkÿv mgvcbx cixÿv - 2022 msµvšÍ Z_¨ weeiYx

(we: `ª: wkÿv_©xi Rb¥ wbeÜb mb`cÎ Abyhvqx digwU AwffveK c~iY Ki‡eb| di‡gi mv‡_ wkÿv_©xi Rb¥ wbeÜb mb`cÎ Rgv w`‡Z n‡e| ¯‹zj BDwbdg© civ m`¨ †Zvjv cvm‡cvU© mvB‡Ri 2 Kwc Qwe GKwU Lv‡g K‡i Avjv`vfv‡e Rgv w`‡Z n‡e| wk¶v_©xi wcZv I gvZvi bv‡gi c~‡e© wg:, wg‡mm, g„Z, giûg, †gRi, K‡b©j, weª‡MwWqvi, Wv³vi, W., kªxhy³, AvjnvR¡ BZ¨vw` Ges bv‡gi †k‡l weG, GgG, GdAviwmGm BZ¨vw` †Kvb ai‡Yi Dcvwa mshy³ bv Kivi Rb¨ Aby‡iva Kiv n‡jv|)

(evsjvq c~iY Ki‡Z n‡e)

1. QvÎ/QvÎxi bvg t...‡mKkb:..., †ivj:...

2. wcZvi bvg t ...

‡ckv t ... †gvevBj b¤^i t...

3. gvZvi bvg t ...

‡ckv t ... †gvevBj b¤^i t...

4. ¯’vqx wVKvbv (c~Y©v½) t- ...

...

5. eZ©gvb wVKvbv t...

...

6. Rb¥ ZvwiL (Rb¥ wbeÜb mb`cÎ Abymv‡i) D`vniY: 30-01-2011:...

w`b (As‡K): ..., gvm (K_vq): ..., ermi (As‡K): ...

7. wj½ (): QvÎ: QvÎx: ag©: ...

PRIMARY EDUCATION COMPLETION EXAMINATION – 2022 RELATED INFORMATION

(To be filled up in English)

1. Student’s Name (Capital Letter): ...

2. Father’s Name (Capital Letter) : ...

3. Mother’s Name (Capital Letter) : ...

4. Date of Birth (according to birth certificate) For Example: 30-01-2011:...

Day (Numeric): ... Month (in word): ... Year (Numeric): ...

GUARDIAN’S CERTIFICATE

This is to certify that, above mentioned information is correct. We will not raise any objection to change the information in future. It is also certified that for any wrong information the school authority will not bound to change the information given by me.

________________________ _______________________

Student’s Signature with Date Parents’ Signature with Date

Parents/Guardians are requested to submit the form perfectly completed by 27 February 2022. The matter is urgent.

________________________

Lt Col Md Tanvir Hossan, psc Principal

Date: 17 February 2022 AbyMÖnc~e©K digwU wjM¨vj mvB‡Ri †ccv‡i wcÖ›U Kiæb

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