Online Registration

Application For Admission

Student's Information

Student's Name*

Birth Registraion No*

Gender*

Blood Group

Date of Birth*

Religion*

Nationality*

Admission Year

Class which Admission is sought*

Parent's/Guardian's Information

Father's Name*

Father's Mobile*

Father's Email

Mother's Name*

Mother's Mobile*

Mother's Email

WhatsApp/SMS*

* For SMS or notice to be given from institution

Emergency Contact (Guardian)

Name*

Mobile*

Relationship with Student

Present Address

House*

Road/Area

Post Office*

Post Code*

Thana/Upazila*

District*

Permanent Address

Do same

Village/House*

Road/Ward

Post Office*

Post Code*

Thana/Upazila*

District*

Previous Study Record (

Yes

)

Sibling (If needed) (

Yes

)

1.Name

School

Class

2.Name

School

Class

3.Name

School

Class

4.Name

School

Class

Others

Please mention in brief if any disease your child suffers and the treatment:

How did you hear about this institution?

In signing this form I agree to follow all rules and regulations of the institution.

I declare that all the information provided by me in this Application is true.

Payment

Application Fee: Tk 200 Only

পেমেন্ট করার পর Admit Card/Application Slip প্রিন্ট করা যাবে।

Al-Amin Baria Kamil Madrasah

Bahir Signal, Chandgaon, Chattogram
Phone:+880 1815 622004
Web: www.abkm.edu.bd

Payment

Application Fee: Tk 200 Only

Al-Amin Baria Kamil Madrasah

Bahir Signal, Chandgaon, ChattogramPhone:+880 1815 622004Web: www.abkm.edu.bd

Payment

Application Fee: Tk 200 Only

Bahir Signal, Chandgaon, Chattogram
Phone:+880 1815 622004
Web: www.abkm.edu.bd