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Student Name English (required)

Student Name Bengali (required)

Father's Name (required)

Father's Occupation (required)

Mother's Name (required)

Mother's Occupation (required)

Present Address (required)

Permanent Address (required)

Guardian Name (Father Absence)

Relation

Date Of Birth (required)

Religion (required)

Nationality (required)

Mobile (Student)

Mobile (Guardian) (required)

Last Academic Qualification Exam Name (required)

Group (required)

Roll No (required)

Registration No (required)

Board (required)

Passing Year (required)

Grade/Division (required)

Select Technology To Admit (required)