• بِسْمِ اللهِ الرَّحْمٰنِ الرَّحِيْمِ
  • আল কুরআন একাডেমি
  • أكاديمية القرآن
  • Al Quran Academy

Admission Form

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Admission Form

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Student Information
First name is required.
Last name is required.
Phone is required.
Enter a valid email.
Parent / Guardian Information
Parent / Guardian name is required.
Relationship is required.
Contact Address
Address is required.
Class Information
Class is required.
Section is required.
Shift is required.
Personal Details
Please select the date of birth.
Please choose a gender.
Blood group is required.
Religion is required.
Birth certificate number is required.
Present Address Details
Present village is optional.
Present ward no. is optional.
Present post office is optional.
Present post code is optional.
Present union is optional.
Present thana / upazila is optional.
Present division is optional.
Permanent Address Details
Permanent village is optional.
Permanent ward no. is optional.
Permanent post office is optional.
Permanent post code is optional.
Permanent union is optional.
Permanent thana / upazila is optional.
Permanent division is optional.
Previous Academic Information
Previous institution name is optional.
GPA is optional (0 - 5).
Student Photo
Student image is required.

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