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IQRA UNIVERSAL SCHOOL
A UNIQUE BANGLA MEDIUM AND ENGLISH MEDIUM SCHOOL WITHIN THE ISLAMIC ENVIRONMENT
āĻ¸āĻ°āĻāĻžāĻ° āĻ āĻ¨ā§āĻŽā§āĻĻāĻŋāĻ¤ EMIS No-31011574
ADMISSION FORM
Date:
Class:
Roll:
Name of Child ; Bengali:
English:
Date of Birth :
Age:
years
month
days
Father's Name :
Mob:
Mother's Name :
Mob:
Occupation :
Address :
Residence Address :
Tel:
Permanente Address:
(If difference form above):
Name of Guardian Another:
(in case parents not available):
Name of Class :
(Medium)
Name of Previous School :
if applicable
Number of Children in the Family:
Health Information :
A.
Major Illness he/she suffered from (If any):
B.
Chronic Illness (If any):
C.
Psychological problem (if any):
Person to be contacted in case of emergency:
Address:
Tel:
Signature of Parent
Signature of Student
Principal's remarks:
