Application For Admission

Class Selection

To which class are you applying for admission?

Session

Campus

Class

Student Information

Student Photo

Student's Full Name

Student's Full Name (Bangla)

Date Of Birth

Gender

Boy Girl

Birth Registration No.

Nationality

Blood Group

Previous Study Information

Year	Class	Institution
Year	Class	Name	Contact

Other Information

Does your child go through any difficulties (Physical or Mental)?

No Yes

Present Address

Permanent Address

Parent / Guardian Information

Father's Info

Name

NID No.

Profession

Organization

Edu. Qualification

Mother's Info

Name

NID No.

Profession

Organization

Edu. Qualification

Contact Information

SMS Contact No. (for sms communications)

Emergency Contact

Father Contact No.(Whatsapp)

Father Email Address

Mother Contact No.(Whatsapp)

Mother Email Address

Siblings Information

No. of siblings studying in MIR

Siblings ID (with comma, e.g. 32,35)

We hereby declare that the information provided here is true and correct. The authority reserves all rights to take any decision regarding my ward’s admission and we will sincerely abide by the rules and regulations of Madrasatu 'Ibadir Rahman In Sha Allah.