Download! - Welcome To Pundro University of Science

Pundro University of Science & Technology
Rangpur Road, Gokul, Bogra.
Mobile: 01713-377076, 01713377037, Fax: +88-051-78563
Web: www.pundrouniversity.com, E-mail: [email protected], [email protected].
Admission Form
Admission Roll No:
Serial No:
Candidate Should Go Through The Notes Carefully Before Completing The Form. (To Be Filled Up In Typescript Of Black Ink)
Semester :
Spring (Jan-Apr)
Summer (May-Aug)
Fall (Sep-Dec)
Section 1
Program Details :
Class Roll No :
Photograph
(Passport Size)
Registration No :
Session :
For Office Use Only
Section 2
Program Details :
Full Name :
Date of Birth (dd-mm-yy) :
Mother's Name :
Male
Father's Name :
Nationality :
Female
Present Address
House No
:
Phone No
:
Village
:
Mobile No
:
Post Office
:
Fax No.
:
E-mail
:
Police Station :
District
:
Permanent Address (it differ from above)
House No
:
Phone No
:
Village
:
Mobile No
:
Post Office
:
Fax No.
:
E-mail
:
Police Station :
District
:
Pundro University of Science & Technology
(Approved by the government of the people's republic of Bangladesh)
Rangpur Road, Gokul, Bogra.
Photograph
(Stamp Size)
Admit Card
Department
: ..........................................................................................
Program
: ..........................................................................................
Full Name
: ..........................................................................................................................................................................................
Mother'S Name
: ..........................................................................................................................................................................................
Father'S Name
: ..........................................................................................................................................................................................
Session
: ................................. Semester: Spring /Summer / Fall
Roll No.
: .......................................................
Signature of Student
Please Follow The Special Instructions Overleaf
Date of Admission Test : ...................................
Time : .........................................
Signature of Admission Officer
Section 3
Certificate /
Degree
Academic Qualifications : (From upper to lower Degree)
Enclose photocopies of Certificates; Mark sheets (Transcripts) and Other relevant documents.
Group /
Discipline
Section 4
Year of
Passing
Name of
Institution / Board
Division / CGPA
Points obtained
(to be filled in by office)
Employment or Profession Records : (Only for service holder)
From to
Name of Organization (s)
Position held
A. Previous Employment
B. Present Employment
Section 5
Names and address of two referees :
Name
:
Name
:
Address
:
Address
:
Phone No :
Phone No :
Mobile No :
Mobile No :
E-mail
E-mail
:
Section 6
:
Declaration :
I hereby accept that, I will be bound by the rules, regulations and student code of conduct of Pundro
University of Science & Technology.
I hereby certify that the above statements are correct and complete to the best of my knowledge. I am aware
that withholding information requested in this application or giving false information will make me
ineligible for admission into PUST and will render me liable for dismissal, if admitted.
Signature: …………………………………
Date : …………………………………
After completing the form, please put your signature with date and return it to the Admission Office of the PUST.
Special Instructions
1. Original Papers: All original mark sheets and certificates have to be shown at the time of admission.
2. Documents to be submitted at the time of form submission :
a. Attested photocopies of all mark sheets & certificates.
b. Attested two (2) copies of passport and one (1) copy stamp size color photograph.
c. Job experience certificate for admission to EMBA program.
3. Documents to be submitted at the time of admission :
a. Three (3) copies stamp size & three (3) copies passport size color photograph.