OGSBH Institute of Nursing Science

OGSB Hospital & IRCH, Zoo Road, Mirpur-1, Dhaka-1216. & Plot#6/1, Section-17 (Old-13), Mirpur, Dhaka-1216

Admission Application Form

( All information must be filled in English as per registration form/certificate )

General Information

Name*

Gender*

Course*

BNMC Admission Test Mark(Minimum 40) *

SSC GPA(Minimum 3.00)*

SSC Year(2 Years Allow)*

HSC GPA(Minimum 3.00)*

HSC Year(2 Years Allow)*

Personal Information

Name of Course*

Name of The Applicant*

Date of Birth*

Father’s Name*

Father’s phone number*

Mother’s Name*

Marital Status*

Nationality*

National ID/ Birth Certificate*

National ID/ Birth Certificate No.*

Religion*

Present Address*

Permanent Address*

Valid Phone Number*

Email*

Applicant Photo* Student Image

Applicant Signature * Student Image

Local Guardian

Name*

Phone number*

Relationship with guardian*

Guardian NID*

Academic Information

>> Academic Level – SSC/Dakhil/Vocational

Examination*

Group*

Board*

Passing Year*

Roll No*

Registration No*

GPA(Minimum 3.00*)*