Admission Form

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National University Group SCIENCE

1st year Bachelor's Degree


(Pass)
Admission Roll 2023378
Merit Position in College
Admission: 2022-2023 (in First Merit List) 783
For Official Use Only

Class Roll

Admission Date

Admission Form - First Merit List (STUDENT'S COPY)

College Name Chandpur Govt. College College Code 3901


Assigned Course B. A. (Pass) (6001)
Course choice B. Sc. (Pass), B. A. (Pass), B. S. S. (Pass), B. B. S. (Pass)

Name MD. MARJAN GAZI Gender Male


Father's Name MD. MAJIBUR RAHMAN GAZI Religion Islam
Mother's Name KOHINUR BEGUM Nationality BANGLADESHI
Birth Date 03/02/2003 Mobile No. 01875354842 Marital Status Unmarried
Guardian's Name KOHINUR BEGUM Guardian's Mobile No. 01857233494
Father's/Mother's/Guardian's Annual Income (Tk) 100000

SSC/ Equivalent Roll 167863 Board COMILLA Year 2020 GPA 4.17
HSC/ Equivalent Roll 162090 Board COMILLA Year 2022 GPA 4

Permanent Address Present Address


Koraliya Coyal bari Koraliya Coyal bari

District Chandpur District Chandpur

Do you want to change your assigned course based on your given preference list? Yes
(This may change before Second Merit List)

I, MD. MARJAN GAZI, do hereby declare that the above mentioned information and photo are correct. If any
information provided by me is found false, National University reserves the right to cancel my admission. I
shall be obliged to obey the rules and regulations of National University as well as my college and to pay all
the required fees.

________________________________________ ________________________________________
Signature of the Student & Date Signature of Father/Mother/Guardian & Date

________________________________________ ________________________________________
Seal, Signature of Dept. Head & Date Seal, Signature of College Principal & Date

Generated on : Tue Oct 10 22:07:44 BDT 2023


National University Group SCIENCE
1st year Bachelor's Degree
(Pass)
Admission Roll 2023378
Merit Position in College
Admission: 2022-2023 (in First Merit List) 783
For Official Use Only

Class Roll

Admission Date

Admission Form - First Merit List (COLLEGE COPY)

College Name Chandpur Govt. College College Code 3901


Assigned Course B. A. (Pass) (6001)
Course choice B. Sc. (Pass), B. A. (Pass), B. S. S. (Pass), B. B. S. (Pass)

Name MD. MARJAN GAZI Gender Male


Father's Name MD. MAJIBUR RAHMAN GAZI Religion Islam
Mother's Name KOHINUR BEGUM Nationality BANGLADESHI
Birth Date 03/02/2003 Mobile No. 01875354842 Marital Status Unmarried
Guardian's Name KOHINUR BEGUM Guardian's Mobile No. 01857233494
Father's/Mother's/Guardian's Annual Income (Tk) 100000

SSC/ Equivalent Roll 167863 Board COMILLA Year 2020 GPA 4.17
HSC/ Equivalent Roll 162090 Board COMILLA Year 2022 GPA 4

Permanent Address Present Address


Koraliya Coyal bari Koraliya Coyal bari

District Chandpur District Chandpur

Do you want to change your assigned course based on your given preference list? Yes
(This may change before Second Merit List)

I, MD. MARJAN GAZI, do hereby declare that the above mentioned information and photo are correct. If any
information provided by me is found false, National University reserves the right to cancel my admission. I
shall be obliged to obey the rules and regulations of National University as well as my college and to pay all
the required fees.

________________________________________ ________________________________________
Signature of the Student & Date Signature of Father/Mother/Guardian & Date

________________________________________ ________________________________________
Seal, Signature of Dept. Head & Date Seal, Signature of College Principal & Date

Generated on : Tue Oct 10 22:07:44 BDT 2023

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