Student Admission Form

Admission Information

Class* :		Version/Medium* :
Session* :		Student Type* :
Username* :		Name* :
Password* :		Rank* :
Confirm Password* :		Unit* :
		Unit Location* :

Student's Information

Student's Name* :
Date of Birth* :
Birth Registration No.* :
Nationality* :		Religion* :
Gender* :	Male Female	Blood Group :
Sibling/s in NCPSC		Sibling/’s ID (If Yes) :
Previous Institution :		GPA (JSC) * : GPA (PECE) * :
Any other relevant information :		Group :
Select Picture* :	[max_size : 300 KB] [max_width : 300px] [max_height: 320px]
Co-curricular * :	Debate Science Sports Math Music Photography Others Minimum 1, Maximum 3 options required.

Father's Information

Father's Name* :
Nationality* :
Father NID * :
Phone :
Mobile* :
Email :
Occupation :
Designation :
Occupation Details Address :
Yearly Income :

Mother's Information

Mother's Name* :
Nationality* :
Mother NID * :
Phone :
Mobile * :
Email :
Occupation :
Designation :
Occupation Details Address :
Yearly Income :

Present Address

Address* :
District *:
Thana *:
Post * :

Permanent Address

Do :
Address* :
District *:
Thana *:
Post * :