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Annex III





                 BANBEIS- 2001             Government of the People’s Republic of
                                                           Bangladesh
                                               Bangladesh Bureau of Education
                                             Information and Statistics (BANBEIS)
                                                       Ministry of Education
                                        1 Sonargaon Road, Palashi-Nilkhet, Dhaka-1205


                                          Survey of Post Primary Education Institution

                                             Questionnaire for Secondary School


                                                       Geo Code (BBS)
                                                                    (2001)   Div.   Dist.   Thana   Union   Mouza



                [Mark (x) if applicable]                Institution Code:


               A. Description of Institution
                 1.  A)  Name of school ------------------------------------------------------------------------------------------------


                      B)     Village/Holding No./Road-------------------------------- Union/Word---------------------------
               Name of Mouza of Academic Building ---------------------- Dag No.------------------Post Office ------------------ Upazila/Thana----------
               ------- District -------------------Division --------------------- Phone No./Fax/Email (if any)------------------------------


               2. Date of Establishment             Day    Month       Year




               3.  (A) Type of College    :   Junior Secondary (12)      Secondary (13)      School and College (30)



                   (B) Management :    Gov’t. (1)      Non-Gov’t. (2)      Local Gov’t. (3)     Autonomous (4)    Others (5)

                   (C) To Whom    :   Boys (1)      Girls (2)      Co-education (3)      Co-education but separate Shift
                                                                                               (4)


                   (D) No. of Shift         :      Shift (1)               Shift (2)              Shift (3)








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