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    Application Form

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    prattashamom
    This document is an application form for admission to the Combined Admission Test of CUET, KUET and RUET for the 2022-2023 session. It contains personal information of the applicant such as name, address, guardian details, educational qualifications, SSC and HSC exam results, and choice of exam center. The applicant, Prattasha Paul Momo, has applied for the 1st year/level-1 of B.Sc. Engineering, BURP and B.Arch programs.

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    Application Form

    Uploaded by

    prattashamom
    17 views2 pages
    This document is an application form for admission to the Combined Admission Test of CUET, KUET and RUET for the 2022-2023 session. It contains personal information of the applicant such as name, address, guardian details, educational qualifications, SSC and HSC exam results, and choice of exam center. The applicant, Prattasha Paul Momo, has applied for the 1st year/level-1 of B.Sc. Engineering, BURP and B.Arch programs.

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    This document is an application form for admission to the Combined Admission Test of CUET, KUET and RUET for the 2022-2023 session. It contains personal information of the applicant such as name, address, guardian details, educational qualifications, SSC and HSC exam results, and choice of exam center. The applicant, Prattasha Paul Momo, has applied for the 1st year/level-1 of B.Sc. Engineering, BURP and B.Arch programs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    17 views2 pages

    Application Form

    Uploaded by

    prattashamom
    This document is an application form for admission to the Combined Admission Test of CUET, KUET and RUET for the 2022-2023 session. It contains personal information of the applicant such as name, address, guardian details, educational qualifications, SSC and HSC exam results, and choice of exam center. The applicant, Prattasha Paul Momo, has applied for the 1st year/level-1 of B.Sc. Engineering, BURP and B.Arch programs.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Combined Admission Test of CUET, KUET and RUET

    1st year/ level-1 B.Sc. Eng., BURP and B. Arch.


    Session: 2022-2023
    Application Form

    Application ID: 201913


    1. Applicant's Name: PRATTASHA PAUL MOMO

    2. Father's Name: PALASH TARU PAUL

    3. Mother's Name: SUMI RANI PAUL

    4. Name of Guardian: Palash Taru Paul Relation: Father

    Guardian's Mobile: 01926872890 Email: [email protected]

    5. Candidate's Address:

    (i) Permanent Address: Purba Adalat Para ( Near Kazi office ) , Tangail-1900

    Thana: Tangail Sadar District: Tangail Division: Dhaka

    (i) Present Address: 100 Shiddeswari Circular Road , Flat-D8

    Thana: Ramna District: Dhaka Division: Dhaka

    6. Applicant's Mobile No.: 01926872890

    7. Email: [email protected] 8. Gender:FEMALE

    9. Date of Birth: 2004-11-20

    10. Are you Small Ethnic Groups?: No

    If Yes, Name of the above Group :

    11. Educaitonal Qualifications:


    Name of Exam Passing Year Roll No. Board Institution
    VIQARUNNISA NOON SCHOOL AND COLLEGE
    SSC or Equiv. 2020 196815 DHAKA
    VIQARUNNISA NOON SCHOOL AND COLLEGE
    HSC or Equiv. 2022 141883 DHAKA

    This is an automatic generated application form using application submission system of CKRUET
    Printed on: 2023-05-10 09:06:56

    Page 1/2
    Combined Admission Test of CUET, KUET and RUET
    1st year/ level-1 B.Sc. Eng., BURP and B. Arch.
    Session: 2022-2023
    Application Form

    12. GPA and Grades:

    SSC or Equiv. HSC or Equiv.

    GPA Obtained GPA Obatained Subject Grade

    Physics 5.00

    Chemistry 5.00

    Math 5.00
    5.00 5.00
    English 5.00

    Total 20.00

    Biology 5.00

    13. Group: KA

    14. Center Choice: RUET, CUET, KUET

    15. Student's Declaration:

    I hereby declare that the above information is true and correct. I understand my application will be rejected if any mismatch is found.

    Signature of Student

    Date: 2023-05-10

    This is an automatic generated application form using application submission system of CKRUET
    Printed on: 2023-05-10 09:06:56

    Page 2/2

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