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University of Rajshahi

Registration Form
Admission Roll: B13335

Exam Score: 53.750

Merit Position: 56
Category : Odd

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: To be assigned later

Student ID

Name of Student

: MUHAMMAD AKHTER HOSSAIN

Session
Name of Faculty

: 2015 2016, Year/Seme: First Year


: Faculty of Law

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1. Basic information:

Program : LLB (Honours)

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Department/Institute: Law

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: Shah Makhdum Hall


: N/A

Name of Hall
Quota

2. Personal information:
Date of Birth :

01-07-1997

Place of Birth : Bogra, Bangladesh

Blood Group :

O+

Gender

Phone/Cell No:

01761959693

E-mail address:

National ID

: Male

Valid Passport No.:

Birth Registration No: 19971014017007047

Religion (optional): Islam

Driving License No. :


Nationality
: Bangladeshi

Height (in cm)

Mother's Name

: Behula Begum

Father's Name

: MUHAMMAD DULU MIA

Gurdian's Name & Relationship: Behula Begum, Mother


(in absence of parents)

3. Permanent Address:
House,Road,Vill/Locality: Krisnachandrapur
PS/Upazila : Gabtali
Post Office : Gabtali-5820

District : Bogra

4. Present Address:
House,Road,Vill/Locality: Krisnachandrapur
PS/Upazila : Gabtali

District : Bogra

Post Office : Gabtali-5820


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: 5 feet 3 i

5. Emergency Contact:
Name & Address: Saju, Gabtali, Bogra
Relationship : Uncle

Phone/Cell No : 01751514267

6. Previous Academic Information:


Exam

Roll

Board/Eqv.

Group

Passing Year

CGPA

HSC/Eqv.

344350

Rajshahi

Humanities

2014

5.00

SSC/Eqv.

416920

Madrasah

Science

2012

5.00

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HSC Institute: Govt. Azizul Hauqe College, Bogra.


HSC Subjects: 101:A ,107:A+,109:A+,117:A+,125:A+,249:A+

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SSC Institute : Thanthania N.A.N Fazil Madrasah

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SSC Subjects : 101+102:A+,103+104:A+,105:A+,107:A+,106:A+,108:A+,130:A+,131:A+,132:A+

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7. Payment Information :

Date of Payment: 14-12-2015 15:40:58

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DBBL TrxID : 95118068

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DECLARATION

I hereby declare that the above information is true. I shall abide by the rules and regulations set by the University. I shall
accept any decision by the University if I am accused of any violation of the University's rules and regulations.

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-------------------------------------------------Signature of Father/Mother/Guardian
in case candidate is under 18 years of age

Signature of Candidate & Date

<--------------------------------------- This part is for office use only ---------------------------------------->

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Chairmans Signature and Official Seal

Dean's Signature and Official Seal

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Hall Provosts Signature and Official Seal

Registrar's Signature and Official Seal

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