{"id":177,"date":"2024-11-21T19:12:53","date_gmt":"2024-11-21T19:12:53","guid":{"rendered":"https:\/\/jtsrajbd.com\/?page_id=177"},"modified":"2024-11-21T19:12:53","modified_gmt":"2024-11-21T19:12:53","slug":"admission-form","status":"publish","type":"page","link":"https:\/\/jtsraj.com\/?page_id=177","title":{"rendered":"Admission Form"},"content":{"rendered":"<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-5649720c-f555-420a-9824-348f5da14434 wpforms-render-modern\" id=\"wpforms-169\"><form id=\"wpforms-form-169\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"169\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F177&#038;wpforms_form_id=169\" data-token=\"734771c9dabe354a141a912df0003313\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#066aab\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"2\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> &#8211; <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 2<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" style=\"width:50%;background-color:#066aab\"><\/div><\/div><\/div><div class=\"wpforms-field-container\"><div class=\"wpforms-page wpforms-page-1 \" data-page=\"1\"><div id=\"wpforms-169-field_16-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"16\"><\/div><div id=\"wpforms-169-field_1-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_1\">Student Name (in Capital)<\/label><input type=\"text\" id=\"wpforms-169-field_1\" class=\"wpforms-field-medium\" name=\"wpforms[fields][1]\" aria-errormessage=\"wpforms-169-field_1-error\" ><\/div><div id=\"wpforms-169-field_2-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_2\">Fathers Name<\/label><input type=\"text\" id=\"wpforms-169-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" aria-errormessage=\"wpforms-169-field_2-error\" ><\/div><div id=\"wpforms-169-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_4\">Mothers Name<\/label><input type=\"text\" id=\"wpforms-169-field_4\" class=\"wpforms-field-medium\" name=\"wpforms[fields][4]\" aria-errormessage=\"wpforms-169-field_4-error\" ><\/div><div id=\"wpforms-169-field_9-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"9\"><fieldset><legend class=\"wpforms-field-label\">Course Name<\/legend><ul id=\"wpforms-169-field_9\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-169-field_9_1\" name=\"wpforms[fields][9]\" value=\"\u0995\u09ae\u09bf\u0989\u09a8\u09bf\u099f\u09bf \u09aa\u09cd\u09af\u09be\u09b0\u09be\u09ae\u09c7\u09a1\u09bf\u0995- \u09e6\u09e8 \u09ac\u09ce\u09b8\u09b0 (\u09b8\u09bf\u09aa\u09bf\u099f\u09bf)\" aria-errormessage=\"wpforms-169-field_9_1-error\" aria-describedby=\"wpforms-169-field_9-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_9_1\">\u0995\u09ae\u09bf\u0989\u09a8\u09bf\u099f\u09bf \u09aa\u09cd\u09af\u09be\u09b0\u09be\u09ae\u09c7\u09a1\u09bf\u0995- \u09e6\u09e8 \u09ac\u09ce\u09b8\u09b0 (\u09b8\u09bf\u09aa\u09bf\u099f\u09bf)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-169-field_9_2\" name=\"wpforms[fields][9]\" value=\"\u09aa\u09cd\u09b0\u09be\u0987\u09ae\u09be\u09b0\u09bf \u09a1\u09bf\u09aa\u09cd\u09b2\u09cb\u09ae\u09be \u09ae\u09c7\u09a1\u09bf\u09b8\u09bf\u09a8 \u098f\u09a8\u09cd\u09a1 \u09b8\u09be\u09b0\u09cd\u099c\u09be\u09b0\u09bf (\u09aa\u09bf\u09a1\u09bf\u098f\u09ae\u098f\u09b8)- \u09e6\u09e7 \u09ac\u09ce\u09b8\u09b0\" aria-errormessage=\"wpforms-169-field_9_2-error\" aria-describedby=\"wpforms-169-field_9-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_9_2\">\u09aa\u09cd\u09b0\u09be\u0987\u09ae\u09be\u09b0\u09bf \u09a1\u09bf\u09aa\u09cd\u09b2\u09cb\u09ae\u09be \u09ae\u09c7\u09a1\u09bf\u09b8\u09bf\u09a8 \u098f\u09a8\u09cd\u09a1 \u09b8\u09be\u09b0\u09cd\u099c\u09be\u09b0\u09bf (\u09aa\u09bf\u09a1\u09bf\u098f\u09ae\u098f\u09b8)- \u09e6\u09e7 \u09ac\u09ce\u09b8\u09b0<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-169-field_9_3\" name=\"wpforms[fields][9]\" value=\"\u0997\u09cd\u09b0\u09be\u09ae \u09a1\u09be\u0995\u09cd\u09a4\u09be\u09b0 (\u09b0\u09c1\u09b0\u09be\u09b2 \u09ae\u09c7\u09a1\u09bf\u0995\u09c7\u09b2 \u09aa\u09cd\u09b0\u09be\u0995\u099f\u09bf\u09b6\u09a8\u09be\u09b2-\u0986\u09b0.\u098f\u09ae.\u09aa\u09bf)-\u09e6\u09ec \u09ae\u09be\u09b8\" aria-errormessage=\"wpforms-169-field_9_3-error\" aria-describedby=\"wpforms-169-field_9-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_9_3\">\u0997\u09cd\u09b0\u09be\u09ae \u09a1\u09be\u0995\u09cd\u09a4\u09be\u09b0 (\u09b0\u09c1\u09b0\u09be\u09b2 \u09ae\u09c7\u09a1\u09bf\u0995\u09c7\u09b2 \u09aa\u09cd\u09b0\u09be\u0995\u099f\u09bf\u09b6\u09a8\u09be\u09b2-\u0986\u09b0.\u098f\u09ae.\u09aa\u09bf)-\u09e6\u09ec \u09ae\u09be\u09b8<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-169-field_9_4\" name=\"wpforms[fields][9]\" value=\"\u099c\u09c1\u09a8\u09bf\u09df\u09b0 \u09a8\u09be\u09b0\u09cd\u09b8\u09bf\u0982- \u09e6\u09e7 \u09ac\u09ce\u09b8\u09b0\" aria-errormessage=\"wpforms-169-field_9_4-error\" aria-describedby=\"wpforms-169-field_9-description\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-169-field_9_4\">\u099c\u09c1\u09a8\u09bf\u09df\u09b0 \u09a8\u09be\u09b0\u09cd\u09b8\u09bf\u0982- \u09e6\u09e7 \u09ac\u09ce\u09b8\u09b0<\/label><\/li><\/ul><div id=\"wpforms-169-field_9-description\" class=\"wpforms-field-description\">* \u0995\u09ae\u09bf\u0989\u09a8\u09bf\u099f\u09bf \u09aa\u09cd\u09af\u09be\u09b0\u09be\u09ae\u09c7\u09a1\u09bf\u0995 \u09ec\u09e6,\u09e6\u09e6\u09e6\/ \u09b7\u09be\u099f \u09b9\u09be\u099c\u09be\u09b0 \u099f\u09be\u0995\u09be \u09ae\u09be\u09a4\u09cd\u09b0\u0964( \u09b8\u09bf \u09aa\u09bf \u099f\u09bf) \u09e8 \u09ac\u099b\u09b0\u0964 \r\n* \u09aa\u09cd\u09b0\u09be\u0987\u09ae\u09be\u09b0\u09bf \u09a1\u09bf\u09aa\u09cd\u09b2\u09cb\u09ae\u09be \u09ae\u09c7\u09a1\u09bf\u09b8\u09bf\u09a8 \u098f\u09a8\u09cd\u09a1 ( \u09aa\u09bf \u09a1\u09bf \u098f\u09ae \u098f\u09b8)\u09b8\u09be\u09b0\u09cd\u099c\u09be\u09b0\u09c0 \u0995\u09cb\u09b0\u09cd\u09b8 \u09e7 \u09ac\u099b\u09b0 \u09e9\u09e6,\u09e6\u09e6\u09e6\/  *  \u09a4\u09cd\u09b0\u09bf\u09b6 \u09b9\u09be\u099c\u09be\u09b0 \u099f\u09be\u0995\u09be \u09ae\u09be\u09a4\u09cd\u09b0\u0964  * \u09b0\u09c1\u09b0\u09be\u09b2 \u09ae\u09c7\u09a1\u09bf\u0995\u09c7\u09b2 \u09aa\u09cd\u09b0\u09be\u0995\u09cd\u099f\u09bf\u09b6\u09a8\u09be\u09b0 ( \u0986\u09b0 \u098f\u09ae \u09aa\u09bf) \u0997\u09cd\u09b0\u09be\u09ae \u09a1\u09be\u0995\u09cd\u09a4\u09be\u09b0 \u09e7\u09e8,\u09e6\u09e6\u09e6\/ \u09ac\u09be\u09b0\u09cb \u09b9\u09be\u099c\u09be\u09b0 \u099f\u09be\u0995\u09be \u09ae\u09be\u09a4\u09cd\u09b0\u0964 ( \u099b\u09df \u09ae\u09be\u09b8)<\/div><\/fieldset><\/div><div id=\"wpforms-169-field_3-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_3\">Permanent Address :<\/label><input type=\"text\" id=\"wpforms-169-field_3\" class=\"wpforms-field-medium\" name=\"wpforms[fields][3]\" aria-errormessage=\"wpforms-169-field_3-error\" ><\/div><div id=\"wpforms-169-field_5-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"5\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_5\">Present Address :<\/label><input type=\"text\" id=\"wpforms-169-field_5\" class=\"wpforms-field-medium\" name=\"wpforms[fields][5]\" aria-errormessage=\"wpforms-169-field_5-error\" ><\/div><div id=\"wpforms-169-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_6\">Name Of School<\/label><input type=\"text\" id=\"wpforms-169-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" aria-errormessage=\"wpforms-169-field_6-error\" ><\/div><div id=\"wpforms-169-field_7-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_7\">Name Of  College<\/label><input type=\"text\" id=\"wpforms-169-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" aria-errormessage=\"wpforms-169-field_7-error\" ><\/div><div id=\"wpforms-169-field_8-container\" class=\"wpforms-field wpforms-field-phone\" data-field-id=\"8\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_8\">Phone<\/label><input type=\"tel\" id=\"wpforms-169-field_8\" class=\"wpforms-field-medium wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][8]\" aria-errormessage=\"wpforms-169-field_8-error\" ><\/div><div id=\"wpforms-169-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_12\">All Exam Information <span class=\"wpforms-required-label\" aria-hidden=\"true\">*<\/span><\/label><input type=\"text\" id=\"wpforms-169-field_12\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][12]\" aria-errormessage=\"wpforms-169-field_12-error\" aria-describedby=\"wpforms-169-field_12-description\" required><div id=\"wpforms-169-field_12-description\" class=\"wpforms-field-description\">SSC\/HSC\/BA\/MA Name, Result, Passing Year, Group, GPA\/CGPA, Board.<\/div><\/div><div id=\"wpforms-169-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_19\">Your Payment Number (Payment On This Number 01716188432 (Bkash) <\/label><input type=\"text\" id=\"wpforms-169-field_19\" class=\"wpforms-field-medium\" name=\"wpforms[fields][19]\" aria-errormessage=\"wpforms-169-field_19-error\" aria-describedby=\"wpforms-169-field_19-description\" ><div id=\"wpforms-169-field_19-description\" class=\"wpforms-field-description\">If you want to pay offline, enter N\/A.<\/div><\/div><div id=\"wpforms-169-field_20-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"20\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_20\">Transaction ID<\/label><input type=\"text\" id=\"wpforms-169-field_20\" class=\"wpforms-field-medium\" name=\"wpforms[fields][20]\" aria-errormessage=\"wpforms-169-field_20-error\" ><\/div><div id=\"wpforms-169-field_21-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"21\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_21\">Total Payment (Taka)<\/label><input type=\"text\" id=\"wpforms-169-field_21\" class=\"wpforms-field-medium\" name=\"wpforms[fields][21]\" aria-errormessage=\"wpforms-169-field_21-error\" ><\/div><div id=\"wpforms-169-field_14-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"14\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_14\">Upload Photo<\/label><div\n\t\tclass=\"wpforms-uploader\"\n\t\tdata-field-id=\"14\"\n\t\tdata-form-id=\"169\"\n\t\tdata-input-name=\"wpforms_169_14\"\n\t\tdata-extensions=\"jpg,jpeg,jpe,gif,png,bmp,tiff,tif,webp,avif,ico,heic,heif,heics,heifs,asf,asx,wmv,wmx,wm,avi,divx,mov,qt,mpeg,mpg,mpe,mp4,m4v,ogv,webm,mkv,3gp,3gpp,3g2,3gp2,txt,asc,c,cc,h,srt,csv,tsv,ics,rtx,css,vtt,mp3,m4a,m4b,aac,ra,ram,wav,x-wav,ogg,oga,flac,mid,midi,wma,wax,mka,rtf,pdf,class,tar,zip,gz,gzip,rar,7z,psd,xcf,doc,pot,pps,ppt,wri,xla,xls,xlt,xlw,mpp,docx,docm,dotx,dotm,xlsx,xlsm,xlsb,xltx,xltm,xlam,pptx,pptm,ppsx,ppsm,potx,potm,ppam,sldx,sldm,onetoc,onetoc2,onepkg,oxps,xps,odt,odp,ods,odg,odc,odb,odf,wp,wpd,key,numbers,pages,redux\"\n\t\tdata-max-size=\"2097152\"\n\t\tdata-max-file-number=\"1\"\n\t\tdata-post-max-size=\"2097152\"\n\t\tdata-max-parallel-uploads=\"4\"\n\t\tdata-parallel-uploads=\"true\"\n\t\tdata-file-chunk-size=\"2097152\">\n\t<div class=\"dz-message\">\n\t\t<svg viewBox=\"0 0 1024 1024\" focusable=\"false\" data-icon=\"inbox\" width=\"50px\" height=\"50px\" fill=\"currentColor\" aria-hidden=\"true\">\n\t\t\t<path d=\"M885.2 446.3l-.2-.8-112.2-285.1c-5-16.1-19.9-27.2-36.8-27.2H281.2c-17 0-32.1 11.3-36.9 27.6L139.4 443l-.3.7-.2.8c-1.3 4.9-1.7 9.9-1 14.8-.1 1.6-.2 3.2-.2 4.8V830a60.9 60.9 0 0 0 60.8 60.8h627.2c33.5 0 60.8-27.3 60.9-60.8V464.1c0-1.3 0-2.6-.1-3.7.4-4.9 0-9.6-1.3-14.1zm-295.8-43l-.3 15.7c-.8 44.9-31.8 75.1-77.1 75.1-22.1 0-41.1-7.1-54.8-20.6S436 441.2 435.6 419l-.3-15.7H229.5L309 210h399.2l81.7 193.3H589.4zm-375 76.8h157.3c24.3 57.1 76 90.8 140.4 90.8 33.7 0 65-9.4 90.3-27.2 22.2-15.6 39.5-37.4 50.7-63.6h156.5V814H214.4V480.1z\"><\/path>\n\t\t<\/svg>\n\t\t<span class=\"modern-title\">Click or drag a file to this area to upload.<\/span>\n\n\t\t\t<\/div>\n<\/div>\n<input\n\t\ttype=\"text\"\n\t\tautocomplete=\"off\"\n\t\tclass=\"dropzone-input\"\n\t\tstyle=\"position:absolute!important;clip:rect(0,0,0,0)!important;height:1px!important;width:1px!important;border:0!important;overflow:hidden!important;padding:0!important;margin:0!important;\"\n\t\tid=\"wpforms-169-field_14\"\n\t\tname=\"wpforms_169_14\" \t\tvalue=\"\">\n<\/div><div id=\"wpforms-169-field_13-container\" class=\"wpforms-field wpforms-field-file-upload\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-169-field_13\">Upload NID\/Birth 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