National University Group SCIENCE

1st year Bachelor's Degree

(Pass)
Admission Roll 2025269
Merit Position in College
Admission: 2022-2023 (in First Merit List) 235
For Official Use Only

Class Roll

Admission Date

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

College Name Patuakhali Govt. College College Code 1501

Assigned Course B. Sc. (Pass) (6003)
Course choice B. Sc. (Pass)

Name MD. HASIBUR RAHAMAN Gender Male

Father's Name MD. HABIBUR RAHMAN Religion Islam
Mother's Name FARIDA PARVIN Nationality Bangladeshi
Birth Date 25/11/2002 Mobile No. 01881612566 Marital Status Unmarried
Guardian's Name MD. HABIBUR RAHMAN Guardian's Mobile No. 01719562440
Father's/Mother's/Guardian's Annual Income (Tk) 200000

SSC/ Equivalent Roll 825764 Board BARISAL Year 2019 GPA 3.89
HSC/ Equivalent Roll 109748 Board BARISAL Year 2021 GPA 4.08

Permanent Address Present Address

Koler Pukurpar , Patuakhali Koler Pukurpar , Patuakhali

District Patuakhali District Patuakhali

Do you want to change your assigned course based on your given preference list? No
(This may change before Second Merit List)

I, MD. HASIBUR RAHAMAN, 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 : Sun Oct 15 12:51:58 BDT 2023

 National University Group SCIENCE
1st year Bachelor's Degree
(Pass)
Admission Roll 2025269
Merit Position in College
Admission: 2022-2023 (in First Merit List) 235
For Official Use Only

Class Roll

Admission Date

Admission Form - First Merit List (COLLEGE COPY)

College Name Patuakhali Govt. College College Code 1501

Assigned Course B. Sc. (Pass) (6003)
Course choice B. Sc. (Pass)

Name MD. HASIBUR RAHAMAN Gender Male

Father's Name MD. HABIBUR RAHMAN Religion Islam
Mother's Name FARIDA PARVIN Nationality Bangladeshi
Birth Date 25/11/2002 Mobile No. 01881612566 Marital Status Unmarried
Guardian's Name MD. HABIBUR RAHMAN Guardian's Mobile No. 01719562440
Father's/Mother's/Guardian's Annual Income (Tk) 200000

SSC/ Equivalent Roll 825764 Board BARISAL Year 2019 GPA 3.89
HSC/ Equivalent Roll 109748 Board BARISAL Year 2021 GPA 4.08

Permanent Address Present Address

Koler Pukurpar , Patuakhali Koler Pukurpar , Patuakhali

District Patuakhali District Patuakhali

Do you want to change your assigned course based on your given preference list? No
(This may change before Second Merit List)

I, MD. HASIBUR RAHAMAN, 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 : Sun Oct 15 12:51:58 BDT 2023