AESSK Portal

Basic Information

Member Type:*

Gender: *

Date of Birth: *

Father's Name:

Mother's Name:

Name Of Spouse:

Full Name:*

Blood Group: *

National Id/ Passport/ Birth Certificate No:

National Id/ Passport/ Birth Certificate Image:

Photo:

Numbar Of Child:

Contact & Occupational Description

Contact No:*

Whatsapp No:

Occupation: *

Company Name:

Email: *

FB Id:

Designation:

Company Address:

Present Address

Address Line1:

Address Line2:

City:

State/Province/Region:

ZIP/Postal Code:

Country:

Division:

District:

Thana:

Permanent Address

(Same as Present Address)

Address Line1:

Address Line2:

City:

State/Province/Region:

ZIP/Postal Code:

Country:

Division:

District:

Thana:

Educational Description

DID YOU ATTEND ANY BOARD EXAM FROM BAF SHAHEEN COLLEGE KURMITOLA?

Yes No

PASSING YEAR (IF YOU ATTENDED ANY BOARD EXAM FROM BAF SHAHEEN COLLEGE KURMITOLA)

Please upload at least one any of your certificate (PSC/JSC/SSC/HSC)

PSC Year:

PSC ROll:

PSC Certificate:

JSC Year:

JSC ROll:

JSC Certificate:

SSC Year:

SSC Group:

SSC REG/ROll:

SSC Certificate:

HSC Year:

HSC Group:

HSC REG/ROll:

HSC Certificate:

STUDY PERIOD (FROM YEAR):

STUDY PERIOD (TO YEAR):

SSC Batch: *

HSC Batch:

Batch Confirmation: *

I DO HEREBY DECLARE THAT THE ABOVE INFORMATION PROVIDED BY ME IS TRUE AND CORRECT.