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S.I Description Answer

Category : l'alent Pool/General

2 Last Exam Name: FIVE/SSC (Write only one)

-)

Board: In case of Five Write

'Primary'

_{In case}

of

board exam write Name of Board

4 Registration No: (Last Exam): Student Registration Number Of Last Exam (FIVE/SSC/ Write Only one)

5 Roll No (Last Exam): Student's Roll Number Of Last Exam (FIVE/SSC/ Write Only ^one)

6 Student Name

7 Class Up to higher secondary write :

6/l

^I

8 Student Birth Regestation No.

9 Fatlier Name

l0

Father

NID

1l Mother Name

12 Mother

NID

l3 Guardian Name

(if

applicable) Narne of Guardian

if

necessary

14 Guardian

NID (if

applicabte)

NID

of Guardian

if

necessary

E

16

Strrdent's Permanent Address

Division: Student's Permanent Division

17 District: Student's Permanent District

18 ^{tJ p} azill ^al Than a : Stu d ent' s ^{P e} rm an e nt U p azillal Th an a 19 Mobile No

20 Current Institute Name Rajshahi Govt. Model

School&

College

21 Current Institute EIIN ¹²⁷⁰⁴³

22 Current Inst tute Mobile 01309-r27043

23 Passed Institute Name: Narne of institute form where the student has passed last exam (Board/FIVE)

24 Passed Inst: Provide

EIIN

of Institute

if

any 25 Student's Account Nurnber

26 Bank Name

27 Bank Branch Name

28 Bank Branch Routing Number

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