Form – International Institute of Applied Science and Technology

International Institute of Applied Science and Technology(IIAST),Code-401
Ashratpur (Near Chalkbazar Kamar More),Tamphat Road (On the way of Siddique Memorial School and College) , Rangpur
Mobile: 01750266706,01716284540

ADMISSION FORM

FILL UP THE FORM YOURSELE. USE ENGLISH BLOCK LETTERS THROUGHOUT EXCEPT BANGLA/NATIVE SCRIPT IN SELECTED PLACES.ALL FIELDS ARE MANDATORY.
Read Carefully Before You Submit The Form

1. Basic Information

Name of Student(Capital Letter): *

Name(In Bangla/Native Script): *

Session *

Program *

Department: *

2. Personal Information:

Date of Birth: *

Place of Birth(District): *

Nationality: *

Blood Group *

Gender: *

Height: *

Religion: *

Birth Registration No. (if any):

National ID No. (If any):

Mobile Number: *

WhatsApp Number: *

Email Address: *

Father's Name: *

Father's Number: *

Mother's Name: *

Guardian's Name (in absence of Parents): *

Guardian Relationship *

Guardian's Mobile Number: *

3. Permanent Address:

House, Road, Village/Locality: *

Post Office *

Ps/Upazila *

ZIP / Postal Code *

Country *

Emergency Contact

Name *

Relationship: *

Phone

4. Previous Academic Information: SSC/Equivalent

School Name: *

Roll: *

Registration Number: *

Select Group *

Passing Year: *

CPGA: *

5. Previous Academic Information: HSC/Diploma

College/Institute Name: *

Roll: *

Registration Number: *

Select Group *

Passing Year: *

CPGA: *

6. File Attach

Picture(300x400) *

No file chosen

All SSC/Equivalent Marksheet Photocopy *

All SSC/Equivalent Certificate Photocopy *

All HSC/Equivalent Certificate Photocopy *

All HSC/Equivalent Marksheet Photocopy *

International Institute of Applied Science and Technology(IIAST),Code-401Ashratpur (Near Chalkbazar Kamar More),Tamphat Road (On the way of Siddique Memorial School and College) , RangpurMobile: 01750266706,01716284540

ADMISSION FORM

Emergency Contact

International Institute of Applied Science and Technology(IIAST),Code-401
Ashratpur (Near Chalkbazar Kamar More),Tamphat Road (On the way of Siddique Memorial School and College) , Rangpur
Mobile: 01750266706,01716284540