Online Admission Form Undergraduate Programs 1 Your Information 2 Parent's Information 3 Local Guardian's Information 4 SSC 5 HSC Signature * Signature is required Clear Photo * Photo is required Clear Local/Foreign Local Foreign Year 2024 2023 Session Spring Fall Apply for Undergraduate Programs Type of Program BPH in Health Promotion & Health Education BS in Microbiology and Immunology BSc in Biomedical Engineering BPH in Reproductive & Child Health BSc in Radiology & Imaging Technology BPH in Occupational & Environmental Health and Safety BSc in Laboratory Technology BPH in Epidemiology and Biostatistics BS in Biochemistry & Cell Biology BSc in Computer Science and Engineering BPH in Community Nutrition Applicant's Name (According to SSC or O-Level) * Applicant's Name is required Mobile/Phone * Mobile/Phone is required Email * Email is required Gender Male Female Blood Group A RhD positive (A+) A RhD negative (A-) B RhD positive (B+) B RhD negative (B-) O RhD positive (O+) O RhD negative (O-) AB RhD positive (AB+) AB RhD negative (AB-) Religion Islam Hinduism Buddhism Christianity Marital Status Married Unmarried Date of Birth * Date of Birth is required Identity Type National ID Driver's license Passport Identity number * Identity number is required Present Address * Present Address is required Country * Country is required City * City is required Division * Division is required District * District is required Permenant Address * Permenant Address is required Country * Country is required City * City is required Division * Division is required District * District is required Next 1 Your Information 2 Parent's Information 3 Local Guardian's Information 4 SSC 5 HSC Father's Name * Father's Name is required Father's Mobile Number * Father's Mobile Number is required Mother's Name * Mother's Name is required Mother's Mobile Number * Mother's Mobile Number is required Previous Next 1 Your Information 2 Parent's Information 3 Local Guardian's Information 4 SSC 5 HSC Local Guardian Name * Local Guardian Name is required Relation * Relation is required Local Guardian's Address * Local Guardian's Address is required Guardian's Mobile Number * Guardian's Mobile Number is required Previous Next 1 Your Information 2 Parent's Information 3 Local Guardian's Information 4 SSC 5 HSC SSC SSC Dakhil O-Level Institute * Institute is required Group * Group is required Passing Year * Passing Year is required Result System GPA Passed Division Result * Result is required Attachment (Certificate or Testimonial) * Attachment (Certificate or Testimonial) is required Clear Attachment (Marksheet) * Attachment (Marksheet) is required Clear Previous Next 1 Your Information 2 Parent's Information 3 Local Guardian's Information 4 SSC 5 HSC HSC HSC Alim A-Level Diploma Others Institute Group Passing Year * Passing Year is required Result System GPA Passed Division Result Attachment (Certificate or Testimonial) * Attachment (Certificate or Testimonial) is required Clear Attachment (Marksheet) * Attachment (Marksheet) is required Clear Previous Make Payment
