Chunati Samity Dhaka
Online Scholarship Form
Hotline No - 01521-328807, Email - csd.chunati@gmail.com
Please enter all mandatory information(*)
Student's Name
*
Father's Name
*
Mother's Name
*
Father is alive?
Yes
No
Guardian's Name (In absence of Father)
Guardian Profession
Farmer
Daily Labour
Private Service
Govt. Service
Business
Teacher
Unemployed
Others
Expatriate (Probashi)
Rickshaw Driver
Housewife
Relationship with Guardian
Father
Mother
Brother
Sister
Uncle
Grandfather
Grandmother
Cousin
Contact No
*
Alternate Contact No
Email (Optional)
Birth Date
*
(Format : DD/MM/YYYY, Example: 14/07/2020)
Address
Permanent Address
Current Academic Information
Institution Name
*
Select...
Chunati Hakimia Kamil Madrasha
Chunati High School
Chunati Fatema Batul Mohila Madrasha
Chunati Mohila Degree College
Chunati Meherunnesa Secondary School
Bir Bikrom Zainul Abedin High School
Others
Class
*
Select...
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8
Class 9
Class 10
HSC 1st Year
HSC 2nd Year
Alim 1st Year
Alim 2nd Year
BA 1st Year
BA 2nd Year
BA 3rd Year
Fazil 1st Year
Fazil 2nd Year
Fazil 3rd Year
Hons 1st Year
Hons 2nd Year
Hons 3rd Year
Hons 4th Year
Masters
Group
Select...
Science
Arts
Business Studies
NA
Roll No
Last Board Exam & Result Details
Institution Name
*
Select...
Chunati Hakimia Kamil Madrasha
Chunati High School
Chunati Fatema Batul Mohila Madrasha
Chunati Mohila Degree College
Chunati Meherunnesa Secondary School
Bir Bikrom Zainul Abedin High School
Chakaria Residential Women College
Lohagara Sukchari High Schhol
Dhaka Ahsania Mission
Adunagar Aktharia Dakhil Madrasha
Chunati Hafezia Adarsha Madrasha
Chunati Hafezia Adarsha Madrasha
Adhunagar Islamia Madrasha
Others
Roll No
*
Registration No
*
Exam
*
Select...
JSC
JDC
SSC
Dakhil
HSC
Alim
Last Exam Result
Select...
A+
A
A-
B
C
D
Actual GPA
*
(Example : 4.23)
Total Marks
Year of Passing
*
Family Member & No. of Students Info
Total Family Member
*
Number of Family Members In Study
*
Family Income Details
Guardian's Monthly Income
*
Other Income (Yearly)
Total Yearly Income
Apply for Zakat Fund
Achieved Previous Scholarship from CSD
bKash/Nagad/Rocket or any Bank Account details(account name, number, branch) of the Guardian (if any). Please mention the type of account.
*
I confirm that the information given in this form is true, complete and accurate and CSD authority reserves all the rights to cancel my applications or revoke my scholarship for any false or incorrect information
Upload Documents
Student Image
*
Board Exam Certificate
*
Submit Application