Step 1: Personal Details

Please fill in your academic, contact, and identity details accurately.

Basic Information

Full Name (Bengali) *

Full Name (English) *

Student / Employee ID *

Department *

Batch / Session *

Designation (if applicable)

Email Address *

Mobile Number *

Identity Information

National ID (Optional)

Date of Birth *

Gender *

Academic Affiliation

Current Status *

Current Occupation *

Address Details

Present Address *

Permanent Address *

City / District *

Country *

Step 2: Identity Verification

Please provide a selfie photograph for identity validation (Mandatory).

Live Camera Capture

Webcam is not active. Click the button below to start.

Or Upload Selfie File

Accepted: JPG, PNG, WEBP (Max 2MB). Face must be clearly visible.

Supporting Document (Optional)

Upload Student/Employee ID Card, Alumni Certificate or other proof (PDF/JPG/PNG, Max 2MB).

Step 3: Digital Signature

Draw, upload or type your signature below.

Draw Signature

Upload Signature

Type Signature

Draw your signature in the box below

Step 4: Declaration & Consent

Please confirm all statements before proceeding.

I have read the memorandum. *

I voluntarily support this initiative. *

The information provided is accurate and authentic. *

I consent to storing my information, selfie, and digital signature for memorandum verification purposes. *

One-Time Password (OTP) Verification

Double validation check to prevent spam registration.

Anti-Spam Math Validation

9 + 3 =

Step 6: Review & Submit Support

Review your summary and submit your support below.

Summary Details

Full Name
Student/Employee ID
Department & Batch
DOB / Gender
Email / Mobile
Academic Status
Address Details

Identity Selfie Selfie

E-Signature

Thank You for Your Support!

Your signature has been successfully recorded and verified. It will be compiled into the final report submitted to the University Administration.

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