Admission Form

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Imr@n's English Academy

ADMISSION FORM

Your Name Father's Name Mother's Name

Present Address
Village Post Office Thana District

Permanent Address
Village Post Office Thana District

Date of Birth Blood Group Mobile No.

Class JSC SSC HSC Degree Honours Religion Islam Hindu Christian Other

Your E-mail

Courses Spoken Written Pronunciation Varsity Admission None Academic Courses JSC Preparotion SSC Preparotion HSC Preparotion None

Gender Male Female

Priority: High Meddium Low

Your Message

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