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Zaitoon Academy
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Fill the form below to apply. Make sure every mandatory field is completed accurately.
Application Fee
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Documents
Photo, Transaction details
Choice Program
Class / Level *
Select class
Session *
Select session
Category *
Select category
Do you need Transport Facilities? *
No
Yes
Shift? *
Select Shift
General Shift
Morning Shift
Day Shift
Personal Information
Applicant Name *
Gender *
Select gender
Date of Birth *
Father Name *
Father Occupation
Mother Name *
Mother Occupation
Guardian Name
Guardian Occupation
Religion *
Select religion
Islam
Hindu
Christian
Other
Country *
Blood Group
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A+
A-
B+
B-
O+
O-
AB+
AB-
Nationality *
Birth Registration No.
Father National ID No.
Mother National ID No.
Contact Information
Contact / SMS Mobile *
Alternative Number
Contact Email
Father / Guardian Mobile No. *
Guardian Email
Guardian Address
Additional Information
Passport No (If any)
Passport Validation Date
Height
Weight
Health Condition (tick at least one)
Good Condition
Have Some Problem
Taking Medicine
Need Extra Care
Need Hot Water Bath
Hot Drinking Water
Have any Siblings? Please input ID
Do you want to admit any other kids?
No
Yes
Address
Present Address *
Permanent Address *
Same as present address
Previous Educational Institute
Institute Name (If any)
Institute Address
References
Reference 1
Reference 2
Upload Picture
Payment Application
Application Fee
Payment Method *
Select
bKash
CASH
Bank
Transaction Details *
Payment Instruction
Payment Tk. 520 to bKash Merchant Number 01673909205
For bKash Make Payment dial *247#
Select Payment to Merchant then input mobile number and amount
Provide Reference number as you like
Please provide Transaction ID in Transaction Details box from bKash SMS
For Cash/Bank provide date, money receipt number and transaction number in Transaction Details
Bank Information:
Account Name: Zaitoon Academy
Account No: 20504410100034407
Bank Name: Islami Bank Bangladesh
Branch Name: Khulshi Branch, Chattogram
I declare that the information provided in this application is complete and true. I understand that Zaitoon Academy has the right to reject this application if any information provided herein is found false or incorrect. *
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