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*Student Name

*Class :

Not SelectedBSc in Physiotherapy (2024-25) MSc in Physiotherapy

*Date of Birth:

*Father's Name :

*Mother's Name :

*Student's Phone :

*Email :

*Nationality :

*Religion :

*Blood Group

Not SelectedA+ A- B+ B- AB+ AB- O+ O-

*Present Address :

*Permanent Address :

*Exam Type :

Not SelectedSSC

*Passing Year :Passing Year

*GPA :

*Biology GPA :

*Physics GPA :

*Chemistry GPA :

*Gender :

Not SelectedMale Female Others

*Exam Type

Not SelectedHSC

*Passing Year :

*GPA :

*Biology GPA :

*Physics GPA :

*Chemistry GPA :

*Student's Photo Upload :

*Student's Signature Upload :

*bKash Personal Number: 01793557825

*I acknowledge that all information provided is true, accurate, and complete, and understand that any misrepresentation may result in rejection or termination of enrollment

   

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