Student Name(Capital Letter): *
Student Name (বাংলা): *
Father's Name: *
Mother's Name: *
Date of Birth: *
Nationlity: *
Email: *
NID Number / Passport Number:
Gender: *
Mobile No: *
Mobile No (secondary):
Division:
District: *
Upazila/Thana: *
Post Office: *
Postal Code:
Village: *
Division: *
Post Office:
Village:
( In-service candidate must enclose deputation order and a letter from his/her employer stating that he/she will be allowed deputation/leave for at last 18 and 36 months for M.S respectively )
I do hrerby declare that: (a) Information mentioned in the application is true, if anything is proved to be false, my candidature will automatically be cancelled; (b) I will abide by the rules and regulation of the University if admitted, and (c) I will never take part in any activity subversive to the University, the State or of Discipline.
Department: *
Semester: *
Year: *
Student's Image:
Signature Image Upload: