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Application Form IUTB

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0% found this document useful (0 votes)
20 views4 pages

Application Form IUTB

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Creating Global Citizens with Islamic Values

To be filled in by the Registrar, IUT


Application No. :
Recent
Passport-size Student No. :
Photograph Programme :
(2 copies) Dept. :
Country :

ISLAMIC UNIVERSITY OF UNIVERSITE ISLAMIQUE DE


M
A M
TECHNOLOGY (IUT)
t) 928A
TECHNOLOGIE
n
ORGANISATION OF ISLAMIC COOPERATION
r e) (OIC) 1
: 5:
GAZIPUR, BANGLADESH qi eEm 05:31C
a
M
l ADMISSION g 1:
H
APPLICATION FOR h
a
kTO egr ,51, (
a
mI
Tick intended programme i a
s
BSc
t
h Engg fEi cn 2052BScTE and BBA
samr Bachelor
Oa lf of02Science in Technical Education,
(Bachelor of Science in Engineering,
KI lofonbBusiness
and Bachelor r,i ,
l2Administration
in Technology t
G i oManagement
A a py Programmes)
e c( 0MYEAR 2024-2025
S- V 38
ACADEMIC
All applications must accompany attested
A Dcopies,yof,0Academic Certificates/Diplomas, Mark-sheets/Transcripts, Testimonials
etc. and Medical Reports. If selected, originals
a
d ayare to be produced to the University at the time of registration.
es ds
unr PART-A
d
eh Please type or use clear block letters throughout. Applicants are advised to read
T
(This part is to be filled by the applicant.
W the “Announcement for Admission” before filling the form)
carefully

M
A M
1. Name of the Applicant Blood Group): A
Tel. No.:
t 8
n 5:92 Tel. No.:
Occupation : e )
2. (a) Father’s name
q ir eEmC :31:1
(b) Mother’s Name aOccupation
lM g
H : 0
: 5 Tel. No.:
h
a
k Occupation g (
a
r ,5:1, 1
(c) Guardian’s Name t
h mI ne Tel. No.:
a i c
is lffE 0220 5. Gender: 52
m r
3. Nationality
K Isa onbOa r,il2,
4. Religion:

6. Date of Birth 7. o
t i l aIDpyNo. :
National
G
c(Date of0M A
8. Passport Number :
S- e
V 38 : Issue Date of Expiry :
,0
9. Present / Mailing (Postal) Address: AD daay,y
es ds
u r
n Fax:
Tel:
ehd e-mail :
T
W Country):
10. Permanent Address (Home

11. Nearest Bangladesh Embassy for Visa to enter Bangladesh:


12. Academic Records (Attach attested copies of Academic Certificates/Diplomas/Transcripts/ Mark sheets etc. of the respective Examinations and English translation,
if needed)
Name of the Examination Degree / Diploma / Minimum years Name of the Name of the Institution Subject wise Marks Division/
Passed certificate obtained required for this Board/University Attended obtained in the Class/
certificate / conducting the Examination CGPA
diploma/degree Examination (Grade or Percent) / Obtained
Field of Study

Mathematics :
Secondary School Physics :

W
W

T
T
Certificate, O-Level or *
Chemistry :

eh
eh
Equivalent (completing

d
d
English :

u
u
10 years of schooling )

n
n

r
r
Other Language:

es
es

D
D

ds
ds

V
V
Higher /Upper Secondary Mathematics :

e
e

(
(

s
s
School Certificate, Physics :

A daay,y
A daay,y

a
a

t
t

G
G
i
A-Level or Equivalent Chemistry :

s
s

S- ,038
S- ,038

a
(completing 12 years of
a English :

t
t

h I
I
schooling ) Other Language:

c 0M
c 0M

m
m

f
a
a

h
h

io Aap
io Aap

i
Diploma/Higher Diploma Field of Study :

E c
a
a

KI lonb yr,il
KI lonb yr,il
in Engineering/

M
M

r
r

Technology/ Technical
mr Oalf 2, 022

Education

mri Oalf 2, 0220


l a(H
l a(H

n 52
h fEicn 052

k egr ,51,
k egr ,51,

C
C

Other Examinations

e
e

g 1:
g 1:

n
n

(Please specify)

qi eEm 05:31
qi eEm 05:31

) :15:
) :15:

English Language
t) 928A
t) 928A

A N/A N/A
A

proficiency certificate
M
M

(If any)
M
M

* In this box only, include years of study from class I of primary school.
13. Programmes of Study
The candidate will fill up a related programme from any one of the following three sections (a, b, c).

Mechanical Engineering
(a) 4-year Bachelor Programmes
Industrial and Production Engineering*
(Candidates eligible for this programme and applying for Electrical and Electronic Engineering
admission, are asked to fill up the seven boxes in order of Computer Science and Engineering
preference, 1 for first preference, 2 for second preference Software Engineering*
and so on. Also see note below).
Civil Engineering*
BBA in Technology Management* M
A M
n t) 928A
(b) Bachelor of Science in Technical Education (BScTE 3 Yrs) ) :15:
e
Mechanical Engineering
r C
(Put a tick ( ) of specialization in appropriate circle) q i eEm :31
Electrical and Electronic Engineering
(Tick only one circle)
ah Ma
l a(H g 1:05
Computer Science and Engineering

mI k egr ,51,
*(Presently, these are fully self-financed programmes. a
s t
h However,Ei c n IUT52shall provide OIC partial scholarship in each of
these programmes: (B.Sc. Engg (IPE), B.Sc. m r i f
l
Engg (SWE), f B.Sc.2
2
0 0Engg (CE) and BBA-TM to interested international
applicants).
K Isa onbOa r,il2,
Note (i) Candidates selected for BSc.TE (3 Years) and
t
G i ol 4-Year
A a y duration
pBachelor of Science (Engg.) Programmes with Full OIC sponsored
c(
scholarship need not make any payment for specified
Mprogramme only.
0 B.Sc. in Technical Education is a Diploma in Engineering in the relevant
Note (ii) The minimum entry requirements for
field. Applicants with Higher DiplomaS - Vethe 3-years
38
D y
, ,0 inortheitssecond
in Engineering Equivalent in the relevant field or Diploma in Technical Education
A
in the relevant field will be considered for admission
y
a
dadepositof Science
Note (iii) Candidates selected for 4-year Bachelor
year.
in Engineering (OIC Partial and Self-financed) and BBA in Technology
Management programmes shall have ds
s admission; for resident students and US $ 5,100 for non-resident students by
ebefore
to US $6,600
u
transferring it to account as below nr
e hd
ACCOUNT NAME: WTISLAMIC UNIVERSITY OF TECHNOLOGY
FC ACCOUNT NO: 4004-099724-030
M
A M
AB BANK LIMITED, MOTIJHEEL CORPORATE BRANCH,
t ) 8DHAKA, A BANGLADESH.
SWIFT CODE: ABBLBDDH 004
)
e n 5:92
q i r EmC :31:1
Payment details and schedule for self-finance students for 2nd,
lMato3rdregistereif he/she
and 4th
g
H year is5
0
: available in the Brochure/Announcement.
Please note that none of the selected candidates will be allowed
k ah gr a( 1, 1 to make the required payment.
fails
Note (iv) Candidates who successfully completed 3-year Higher
t
h mI Diploma ne 5
,
in Engineering Programme from IUT, if converted to Bach
elor of Science in Engineering (Fourth Year) Programme,
i a
s fEi
shall c 205
have to 2
pay US$ 6600 for their fourth and final year before
registration.
sa mr Oalf 2, 02
Note (v) All bank/collection charges are to beK I byonthebapplicant.
borne
r,il
Note (vi) It is to be noted that there is a fee paid byio
t l a y
p before he or she appears for backlog exams (accumulated failed
every student
exams). ( G
c 0M A
Ve
Note (vii) The duration of the IUT academic-programmes
S 38will
range from one year to four years. If any student exceeds the specified
,0
AD daay,y
duration of a programme due to any reason, he/she be required to pay the necessary fees for additional year (s) as per the
policiy of the university.

es dsRegistrar’s Office on e-mail: admission@iut-dhaka.edu


Note (viii) For further details, please contact

u nr following detailed Reports from any Authorized Medical Board/


15. Medical Report [please attach
Medical Practitioner]MedicalTe
hd the
Certificate;
W
i) General Fitness (physical and mental) from medical specialist.
ii) Eye examination report from Eye Specialist.
iii) Hearing report from ENT Specialist with audiometry.
Laboratory Test with detailed reports; iv) Chest-X-Ray with Report. ix) HBsAg Report
i) Complete Blood Count (CBC) v) ECG x) HIV Screening Report
vi) Blood Group xi) Urine RME & C/S
ii) Random Blood Sugar (RBS)
vii) MT Test. xii) Coronavirus Certificate
iii) Serum Creatinine.
viii) VDRL Report xiii) Hepatitis C
Note that “dope test” will be taken at the IUT medical centre at the student’s own cost upon arrival.

(N.B. Instead of a summarized medical certificate individual detailed laboratory reports MUST be presented. All reports must
be issued from accredited medical sources. Candidates having contagious and communicable diseases or cardiac problems are
not eligible for admission)
M
A M
16. DECLARATION
n t) 928A
r to the beste :15 : and belief. I understand
)of my knowledge
I certify that the statement made by me herein is complete and true
that any willful misstatement renders me liable to dismissal from theq iUniversity.
E C
mI further
:31declare that I shall abide by all the
rules and regulations of the University as may be amended from ltime to time a
M e
gManagement
H 5
:0 those of discipline. I also declare that
including
on provisional selection for 4-year BSc Engineering or BBA k inahTechnology r
g a( ,
1 1 (self finance or OIC partial scholar-
ship student), I will arrange to deposit US$ 6,600 as resident mI/ US e
t Eicnalso arrange
h $5,100 as 5
,
non-resident student or any other specified amount
in the offer letter before admission, or as a self-finances a f year.
ieach academic
student I will
2052 to deposit the consecutive payments as given
in the admission announcement before the startingm r f
l 2
0
KIsa lonbOa yr,il2,
of

( t
G io Aap
Signature of the Guardian with date
e c 0M Signature of the Applicant with date
S- V 38
A D ,y,0 PART-B
(To be filled by thed a ay
Nominating Authority of the Applicant’s Country)
ds
17. Mr.
unres
eh d is hereby nominated.
W T
Signature of the Nominating Authority M
M
A
SEAL Designation :
n t) 928A
Address :
r C ) :15:
e
Date:
a
M qi eEm 05:31
Tel: Fax: ah l a(H g E-mail: 1 :
mI k egr ,51,
Note a
s t
hfor Ei c n 52
Applicants
f
mri byOathelf Admissions 2
0 20
(i) The selection of the students will beIs a
made
K land b i l2, Committee of the University taking into
consideration of their academic performance
o on pyr
past ,
conduct of the applicant at IUT or any other institution.
(ii) All full time resident students of IUT will (
c tbei provided
G M A a accommodation and food. However all students will be
provided normal medicare, pocket allowance,
S- Ve 38games 0 and sports facilities, subject to availability of funds.
D the
(iii) The applications should be sent through
,y ,0Nominating Authority as per advertisement made by the respective
Government. The last date forA submissionay of application forms shall be on Wednesday, 30 April 2025.
(iv) It is to be noted that candidates may
a
d
ds also apply directly through IUT web portals in accordance with Admissions
nr s
e
Guidelines (admission.iutoic-dhaka.edu), however, preference will be given to the nominated candidates.
u
hd programmes range from one year to four years. If any student exceeds the
(v) The duration of the IUT academic
specified duration of aW
T e
programme due to any reason, he/she will be required to pay the necessary fees for
additional year (s) as per IUT policy.

REGISTRAR’S OFFICE
ISLAMIC UNIVERSITY OF TECHNOLOGY (IUT)
BOARD BAZAR, GAZIPUR-1704, BANGLADESH
E-mail: admission.iutoic-dhaka.edu

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