Online Admission Form

Application for Admission:  Year  Semester  Program *
 
Name (in block letters):   *
Photo upload:   * Supported file(jpeg, jpg, png) has to be less than 1 MB.
Date of Birth (dd/mm/yyyy): *  Place of Birth (District)
Gender:   Male Female  Marital Status:   Married Single
Nationality:    Blood Group:  

Present Address: 
Phone:  * E-mail: 
Permanent Address: 
(if different from present address)

Father's Name (in block letters):  
Occupation:    Address: 
Phone:  

Mother's Name (in block letters):  
Occupation:    Address: 
Phone:  

Name of Local Guardian:   (if parents live outside Dhaka)
Address: 
Phone:    E-mail:  

Person to be notified in case of emergency:  
Relationship:   Address: 
Phone:    E-mail:  

Name of the person who will pay the fees:  
Relationship with him/her:   His/her monthly income: 
Address: 
Phone:    E-mail:  

Work Experience (applicable for Post-Graduate Student only):
List the organizations you have worked for and the positions held. Begin with current position.

Name of Organization Position/Designation From (mm/yy) To (mm/yy)

SAT/ TOFEL/ IELTS/ GMAT Scores, if any:
SAT Scores:  Date Taken:  TOFEL Scores:  Date Taken:
IELTS Scores:  Date Taken:  GMAT Scores:  Date Taken:

Academic Records:
SSC/O'Level/Equivalent:
Name of Examination School/Institute Board/Institute Division/GPA Year of passing
HSC/High School/GCSE/A'Level/Equivalent:
Name of Examination College/Institute Board/Institute Division/GPA Year of passing
Bachelor's Degree/Equivalent:
Name of Examination College/Institute/University Board/Institute Division/GPA Year of passing
Diploma Degree/Equivalent:
Name of Examination College/Institute/University Board/Institute Division/GPA Year of passing

Master's Degree/Equivalent:
Name of Examination College/Institute/University Board/Institute Division/GPA Year of passing

Have you ever been dismissed, suspended or expelled from any institution of learning:   Yes No
If yes, describe briefly.

Extra Curricular Activities:

1.Bkash

* Please deposit Admission Fee to 01953804090 from any Bkash Personal Number.

Sender Name :

Transaction No:

Issue Date :

Amount :

Sender Contact No :

2.Pay order

Pay to:

PO Number:

Date of Payment:

Bank Name:

Branch name:

Amount :

3.EMO/MMO ( by Bangladesh post office)

Ser PIN :

Sender Name :

Issue Date :

Amount :

Sender Contact No :

MO Serial :

Branch Code :