AL JAMIATUL FALEHIA KAMIL MADRASAH

EIIN No: 106629 , Madrasah Code: 18039, District Code: 63, Center Code: 643

Falahia Lane, Shanti Company Road, Feni-3900, Phone: 0331-74797, www.falahiafeni.edu.bd

New Application

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Personal Information

Student Name (Bangla) *

Student Name (English) *

Father's Name (Bangla) *

Father's Name (English) *

Mother's Name (Bangla) *

Mother's Name (English) *

Guardian Name *

Guardian Relation *

Occupation *

Yearly Income *

Parent's/Guardian Contact No: *

Image *

Permanent Address

House Name *

Road Name *

Village *

Ward *

Post Office *

Police Station *

District *

Phone/Mobile *

Present Address

House Name *

Road Name *

Village *

Ward *

Post Office *

Police Station *

District *

Phone/Mobile *

Physical Information

Height *

Body Color *

Blood Group *

Symbol of identification *

Date of Birth *

Gender *

National ID / Birth ID *

Previous Institute Information [Not necessary for Play Class]

Institute Name

Class

Roll

Result

Post Office

Police Station *

District

Admission Information

Class Name *

Group Name*