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Chattogram Cantonment Public College PP Size

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Chattogram Cantonment, Chattogram 02 Copies
Admission Form (College Section)
Session : 2022-2023
Index No. .................................................. Security Code / Pin No : ...........................
All blanks and boxes must be filled up with appropriate information or remarks (can be filled up in Bengali)
Tick as applicable :

Group :  Science  Business Studies  Humanities Version :  Bengali  English

1. Full Name (In Bengali) : ......................................................................................................................................................................................................................................................

In English (Block Letter) : ......................................................................................................................................................................................................................................................

2. Date of Birth :

3. Online Birth Registration No (if any) :

4. Nationality : .................................................................. Religion : ...................................................... Gender : Male Female

5. Father's name : ...........................................................................................................................................Occupation (Detail) : ............................... .....................................

............................................................................... Phone :............................................ Mobile :................................................................... Email:....................................................................

Date of Birth : ......../........./............... NID No :

Name and Address of Office : ..............................................................................................................................................................................................................................................

6. Mother's name : ...........................................................................................................................................Occupation (Detail) : .................... ............ ...................................

............................................................................... Phone :............................................ Mobile :................................................................... Email:....................................................................
Date of Birth : ......../........./............... NID No :

Name and Address of Office : ..............................................................................................................................................................................................................................................

7. Address :
Present Home Address Permanent Home Address Local Guardian's Name & Address

.......................................................................................................... .......................................................................................................... .................................................................................................................................

........................................................................................................... ........................................................................................................... . ................................................................................................................................

........................................................................................................... ...........................................................................................................
Phone : ......................................................................................................
........................................................................................................... ...........................................................................................................
Mobile : ......................................................................................................

8. SMS Alert Mobile no :

G:\Admission XI_08-12-2023\Admission Information XI 2023 For Website-10-1-2023.Doc (A/C_Basu)

9. Details of Candidate’s SSC or Equivalent Examination :

A. Name of School / College : ……….............................................................................................................................................................................................................…….

Name and year of the Exam passed : ……........................................................................................................................................................................................

Group : Science Business Studies Humanities Version : Bengali English

GPA : ........ GPA (Without 4th Subject):...........Total Marks: .......... Board : ……........ Centre : …..........

Roll No. ………...................................….....…. Registration No. ……................................................................… Session : …...........................…….........…..

B. Subject wise Letter Grade: Bangla:...............................…… English:..............................…… Mathematics:...............................……

BGS/Science:........................................................................… Religion:.............................................................……. ICT : .............................................................……

Elective Subjects : (1) …………………..............…….….........….…...............…. (2) ……………...….….......................………. .......................... ..............................

: (3) …………………..............…… ….........… ..................…. (4) ……………...….…....................……… ................... ......... (4th Sub)

10. Choice of Subjects (For HSC) : Compulsory: (1) Bangla (2) English (3) ICT

Elective Subjects : (1) …………………..........................…….….........…..........…............... (2) ……………...….…........................................................................................……

: (3) …………………..............…….......….........…....................…. (4) ……………...….…....................……… ................... ......... (4th Sub)

11. A. Name of previous college (In case of transfer) : …...................................................................................................................................………………..

B. Transfer Certificate No. …............................…..........................................................................…….. Date : ………..........................…..…..
C. Registration No. …...................................….............……… (If done in the previous institution) Session :….............................................

12. Tick an appropriate box if applicable/applied for Quota :

 FQ  SQ (Army/Rtd. Army/Defence)  Teacher/ Staff  General  EQ  Foreign/BKSP
13. Bus Service :  Yes  No

14. We declare that the information provided above is absolutely true and if any information proves to be
false/wrong/distorted or if we hide any truth, instantly the college authority may take appropriate action
against me.

Mother's Signature Father's Signature Student's Signature

15. Verification of committee member : ................................... Signature & Date : .................................

16. Recommendation of Vice-Principal : ................................... Signature & Date : .................................

17. Approval of Principal : .......................................................... Signature & Date : .................................

G:\Admission XI_08-12-2023\Admission Information XI 2023 For Website-10-1-2023.Doc (A/C_Basu)

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G:\Admission XI_08-12-2023\Admission Information XI 2023 For Website-10-1-2023.Doc (A/C_Basu)
G:\Admission XI_08-12-2023\Admission Information XI 2023 For Website-10-1-2023.Doc (A/C_Basu)
G:\Admission XI_08-12-2023\Admission Information XI 2023 For Website-10-1-2023.Doc (A/C_Basu)

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