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UnionInformation & Service Center(UISC)

Salanga Union Complex

 

 

 

 

2 copies

Color Size

Ullapara, Sirajgonj

Mob: 01916-995835 , 01750-406988.

E-mail No- jahangirbss@yahoo.com

 

Plaque: Admission Form


         

 

 

Date :         

 

 

1.       Student’s Name (In Block Letter):..............................................................................

2.       Father’s Name:............................................................................................................

3.       Mother’s Name:..........................................................................................................

4.       Present Address:

                             Village:...........................................Post Office:.....................................

                             Police Station:.................................District:..........................................

5.       Permanent Address:

                             Village........................................... Post Office:.....................................

                             Police Station:.................................District:..........................................

6.       Date of Birth:..............................................................................................................

7.       Qualification:..............................................................................................................

8.       Name of School/College:............................................................................................

9.       Mobile No. (if any):....................................................................................................

10.     E-mail Address (if any):..............................................................................................

11.     Course Name:

                             (i) Advanced Computer Science (A.C.S)

                             (ii) Diploma in Computer Science (D.C.S)

 

 

 

 

    Student’s                        Guardian’s                       Chairman                      Director’s

    Signature                          Signature                         Signature                      Signature