BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY, DHAKA
Serial No. of Application Form Roll No. for Admission Test
061217
APPLICATION FORM
FOR ADMISSION INTO
POSTGRADUATE PROGRAM
Staple here
two attested copies of
For Office Use Semester: April, 2017 recent passport-size
color photographs.
(same photographs that
Reg No. Signature:
you have submitted
[Seal] during online application)
Student No. Bangladesh University of Engineering and Technology
1. The Degree/ Diploma Program in which you want to apply for: M.Sc. Engg./ M. Engg. program
in Electrical and Electronic Engineering
2. Desired Status of Studentship: Full-time
3. Particulars of Previous Postgraduate Admission in BUET: N/A
4. Name in Full: PURAB RANJAN SUTRADHAR
Name in Bangla:
5. Father's Name: PRANESH RANJAN SUTRADHAR
6. Mother's Name: DEVI RANI SUTRADHAR
7. Present Address: 52/G, AZIMPUR GOVT. QUARTER, DHAKA
8. Permanent Address:NARAYANPUR, AMRATOLI , BARURA, COMILLA
9. Phone/Mobile No: 01534321785 10. Email: [email protected]
11. Date of Birth: 18-08-1994 12. Place of Birth: SHANTINAGAR,DHAKA
13. Gender: Male 14. Marital Status: Single
15. Nationality: BANGLADESHI 16. Religion: Hinduism
17. Whether Presently Employed? No
Serial No. of Application Form Name: PURAB RANJAN SUTRADHAR
061217
18. Academic Records (SSC and above, at most six):
Examination Year Duration % of GPA
Name of Institution, and
Passed or of Marks, Scale
Board/ University From To
Degree Awarded Passing or GPA (if applicable)
PATUAKHALI GOVT. JUBILEE HIGH SCHOOL,
S.S.C 2009 01/01/2007 26/05/2009 5.0 5.0
BARISAL BOARD
H.S.C 2011 NOTRE DAME COLLEGE, DHAKA BOARD 04/07/2009 27/07/2011 5.0 5.0
BANGLADESH UNIVERSITY OF ENGINEERING AND
BACHELOR OF SCIENCE 2017 07/05/2012 23/02/2017 3.17 4.0
TECHNOLOGY
19. Experience (at most two):
Duration
Designation Organization Brief Description of Job
From To
--- --- --- --- ---
20. Name of two referees not related to you (at least one of whom must have taught you in the
institution last attended).
1. Name: DR. MD. NASIM AHMED DEWAN 2. Name: DR. MD. ZAHURUL ISLAM
Address: PROFESSOR Address: ASSOCIATE PROFESSOR
DEPT. OF EEE DEPT. OF EEE
BUET, DHAKA-1205 BUET, DHAKA-1205
Phone/ Mobile No: 0255167100 Phone/ Mobile No: 01721933227
Important
Your admission will be provisional until the authority is satisfied that you possess minimum
requirements for admission according to the decision (if necessary) of the Equivalence Committee of
the University. Your admission will be cancelled if you furnish any wrong information or forged
document(s) and fail to submit any required document(s) within the stipulated time.
Serial No. of Application Form Name: PURAB RANJAN SUTRADHAR
061217
Applicant's Undertaking
I hereby apply for admission into the M.Sc. Engg./ M. Engg. program in Electrical and
Electronic Engineering.
I agree to abide by all rules and regulations of the University.
Date:
(Signature of the Applicant)
For University Use
1. Is equivalence of degree(s) done? Yes No Not required
2. Recommended/ Not recommended for admission as a part-time/ full-time student.
Date:
(Head of the Department/ Director of the Institute)
(Seal)
The following documents must be attached with the completed Application Form:
1. Two attested copies of recent passport-size color photographs (write your name on the reverse
side of each photograph).
2. Attested copies of certificates of all public examinations.
3. Attested copies of transcripts/ grade-sheets/ mark-sheets of degrees obtained.
4. Attested copies of testimonial/ character certificate from the institution last attended.
5. Letter of Consent, in prescribed form, from the employer for applicants in part-time or full-time
employment.
Important Notes to Applicants:
1. Upon submission of the online application, the printed copy of the completed Application Form with
necessary documents (as described above) must be submitted to Registrar, BUET, Dhaka 1000,
Bangladesh within the period from 04 March to 19 March, 2017 during office hours (9:00 am to 5:00
pm). Failure to submit the same will result in cancellation of your online submission.
2. Non-refundable application fee of Tk. 500/- (Five Hundred) must be paid in cash as application fee at the
time of submission of complete application to Registrar Office, BUET.
3. Application submitted by mail will NOT be accepted.
Office Copy Applicant's Copy
BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY
Postgraduate Admission : April 2017 Postgraduate Admission : April 2017
Receipt of Application Form Receipt of Application Form
Serial No. of Application Form: 061217 Serial No. of Application Form: 061217
Dept./ Inst: Department of Electrical and Electronic Engineering Dept./ Inst: Department of Electrical and Electronic Engineering
Program: M.Sc. Engg./ M. Engg. (EE) Program: M.Sc. Engg./ M. Engg. (EE)
Name: PURAB RANJAN SUTRADHAR Name: PURAB RANJAN SUTRADHAR
Father's Name: PRANESH RANJAN SUTRADHAR Father's Name: PRANESH RANJAN SUTRADHAR
Mother's Name: DEVI RANI SUTRADHAR Mother's Name: DEVI RANI SUTRADHAR
Taka 500/-(Five Hundred) received with thanks. Taka 500/-(Five Hundred) received with thanks.
___________________________________ Seal ___________________________________ Seal
Signature of the Receiving Officer: Signature of the Receiving Officer:
Date: Date:
Applicant's are advised to contact the respective department/ institute Applicant's are advised to contact the respective department/ institute
for information regarding the admission procedure. for information regarding the admission procedure.
Applied on 18-03-2017 10:28:10 AM using IP 103.205.134.146 Applied on 18-03-2017 10:28:10 AM using IP 103.205.134.146
