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Student’s Signature with date Guardian’s Signature with date Parents/Guardians are requested to return the form perfectly completed by 07 March 2021

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COLOURED PHOTOGRAPH WITH SCHOOL UNIFORM

CANTONMENT ENGLISH SCHOOL & COLLEGE CHATTOGRAM CANTONMENT

JUNIOR SCHOOL CERTIFICATE (JSC) EXAMINATION-2021 Necessary Information for Online Registration

(Please Give Your Information According to PECE Certificate/ Birth Certificate/National ID/Passport) [Note: Please don’t add any title before father’s or mother’s name of student like: Mr., Mrs, Late, Major, Colonel, Brigadier, Mowlabi, Doctor, Engineer, Professor, Dr. Sreejukto, Alhaz and after BA, MA, FRCS etc.]

Section :

____________________________________________________________________

_________________________________________________

Class Roll :

____________________________________________________________________

_________________________________________________

Student’s Name

(Capital Latter) :

____________________________________________________________________

Father’s Name

(Capital Letter) :

____________________________________________________________________

Mother’s Name

(Capital Letter) :

____________________________________________________________________

Date of Birth (according to PECE certificate):

Date: ____ Month: (in word) ___________ Year: _____

Gender (tick () mark) : Male Female

Religion :

____________________________________________________________________

Optional Subject

(tick () mark) : Agriculture Studies Home Science

Contact No :

____________________________________________________________________

Student’s

Upozilla/Thana (Home): ____________________________________________________________________

Student’s Home District:

____________________________________________________________________

GUARDIAN’S CERTIFICATE

I, hereby declare that, above mentioned information is correct. I will not make any attempt to change the given information in future. I also certify that, for any wrong information given above the school authority will not be responsible.

___________________________________ __________________________________

Student’s Signature with date Guardian’s Signature with date

Parents/Guardians are requested to return the form perfectly completed by 07 March 2021. You are also requested to attach photocopy of PEC Examination Certificate. The matter is urgent.

________________________________

Lt Col Md Tanvir Hossan, psc Principal

Date: 25-02-2021 Example: 2008 January 01

Form should be printed on Legal size paper

Referensi