রংপুর পলিটেকনিক ইন্সটিটিউট, রংপুর

1. ID

2. NAME*

3. DATE OF BIRTH*

4. FATHERS NAME*

5. MOTHERS NAME*

6. PERMANENT ADDRESS:*

7. STUDENTS MOBILE NO:*

8. GUARDIANS MOBIlE NO:*

09. Email Address:*

10. NAME OF COURSE*

11. TRADE/TECHNOLOGY*

12. SESSION*

13. DURATION*

14. ROLL NO*

15. REG NO*

16. PASSING YEAR*

17. EMPLOYEE INFORMATION

Photograph*

(File type must be jpg or jpeg or png. Maximum file size 1 mb.)

Signature*

(File type must be jpg or jpeg or png. Maximum file size 1 mb.)