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Questionnaire for Awardees

rd
The Daily Star “23 O & A Level Award Presentation Ceremony 2024”
(PLEASE FILL THIS FORM IN BLOCK LETTERS)
1. Name : ………………………………………………………………………….
2. Address : ………………………………………………………………………….
………………………………………………………………………………………
3. Contact : ………………………………………………………………………….
4. E-mail : ………………………………………………………………………….
5. Date of Birth : ………………………………………………………………………
6. Guardian Name : …………………………………………………………………...
7. Guardian Phone : …………………………………………………………………...
8. Results :
O/A Level Session Number of Number of Candidate ID Curriculum
A’s/7 A*’s/8 or 9
October/November 2022

January 2023

May/June 2023

October/November 2023

9. Highest Marks (if any) : …………………………………………………………..


10. Ambition: (Word Limit 15)
……………………………………………………………………………………….
……………………………………………………………………………………….
11. Favorite Quotation: (Word Limit 25)
……………………………………………………………………………………….
……………………………………………………………………………………….
……………………………………………………………………………………….

.……………………
Signature and Date
Note to Students:
▪ Please write down your name clearly behind the color photograph.
▪ Please ensure the ‘ambition’ section and ‘Favorite Quotation’ section
does not exceed the word limit.

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