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*Class/Level ()**
Category

*Session ()**
Shift

Personal Information

*Applicant's Name (English) ()**
*Date of Birth ()**
*Father's Name ()**
*Mother's Name ()**
Guardian's Name
*Country ()**
*Nationality ()**

*Gender ()**
Father's Occupation
Mother's Occupation
Guardian's Occupation
Blood Group

Contact Information

*Contact/SMS Mobile Number ()**
Contact Email
Guardian Email

Alternative Number
*Father/Guardian Mobile No. ()**
Guardian Address

Additional Information

Passport No (If any)
Passport Validation Date

Birth Certificate No.
National ID.

Present Address

Permanent Address

Previous Educational Institute

Institute Name (If any)	Institute Address

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Payment of Application Fee

Application Fee

Payment Method

Transaction Details

Payment Instruction

1. Pay Tk. to bKash Merchant Number 01#########
2. For bKash Payment dial *247#
3. Input option 3 for Payment to merchant
4. Then input merchant number and then amount
5. Then input reference number as your own wish
6. Then input counter no 1 and then input your pin number
7. Please provice Transaction ID in Transaction Details box which you will get via sms from bKash
8. For Cash/Bank Transaction, Provide details in Transaction include date, money receipt number and transaction number

Declaration

I declare that the information provided in this application is completed and true. I understand that the Safeer Academy has the right to reject this application if any information provided herein is found false or incorrect.

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