Bazlur Rahman Scholarship Foundation

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Bazlur Rahman Scholarship Foundation

PO Box 524 Flushing NY 11376-0524, USA


Scholarship Application Form 2011 Scholarship amount 25,000 Taka (scholarship amount may vary depend on qualified applicants) Number of scholarships: 10 (5 males and 5 females) number may vary depend on qualified applicants. Eligibility: Student who is in first or second year in Medical College. Students selected for 2010-2011 year also eligible to apply. Application form could be typed, computer composed or hand written. Application deadline: March 15, 2011 Please Fill up all sections as detailed as possible and use a separate piece of paper in needed Applicants Name: MD. HAIUL KABIR CHOWDHURY Nick Name(if/any): RAJIB Date of Birth: Day 18 Month 12 Year 1991 , Place Of Birth: Rangpur Present Address: SHAHEED ZIA-UR-REHMAN MEDICAL COLLEGE, BOGRA Permanent Address: Sarkarpura, Saidpur, Neilphamari Home District: Thana /Upzila Saidpur District: Neilphamari Contact Phone Number(s) : +8801928025771 , +8801738345023 Emial Adress :Rajibszmc@yahoo.com Marital Status(Please check one): Married NO Unmarried yes Fathers Name : MD.A.MAJID CHOWDHARY Fathers Education :HSc (passed) Fathers Home District: Rangpur Fathers Occupation/Job Title: Buisness Fathers Employer and Adress: NIL Mothers Name: LAIJU AKHTAR Mothers Education: Class Eight (Passed) Mothers Home District: Rangpur Mothers Occupation/Job Title: Housewife Mothers Employer and Adress: NIL Education : Present Grade/Class: MBBS Name and address of institution: SHAHEED ZIA-UR-REHMAN MEDICAL COLLEGE, BOGRA CLASS Name and address of Institution Total Marks Year 5 6 7 8 9 10 11 12 Ram Krisno govt. Primary School, Mansipur, Saidpur, Nielphamary Saidpur High School , Saidpur, Nielphamary Saidpur High School , Saidpur, Nielphamary Saidpur High School , Saidpur, Nielphamary Saidpur High School , Saidpur, Nielphamary Saidpur High School , Saidpur, Nielphamary Govt. Technical College , Saidpur Govt. Technical College , Saidpur 536/600 553/900 631/900 674/900 721/900 703/900 5.00(GPA) 5.00(GPA) 2001/2 2002/3 2003/4 2004/5 2005/6 2006/7 2007/8 2008/9

Recommenders Name:Mahboob-Ul-Karim Job Title : Principal Adress : SHAHEED ZIA-UR-REHMAN MEDICAL COLLEGE, BOGRA Phone :NIL Email : NIL Do you want to recommend a scholarship to another student? NO

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