BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY, DHAKA

Serial No. of Application Form Roll No. for Admission Test

050438

APPLICATION FORM
FOR ADMISSION INTO
POSTGRADUATE PROGRAM
Staple here
two attested copies of
For Office Use Semester: October, 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 Computer Science and Engineering

2. Desired Status of Studentship: Part-time

3. Particulars of Previous Postgraduate Admission in BUET: N/A

4. Name in Full: Mahabuba Akther

Name in Bangla:

5. Father's Name: Ahasan Ullah

6. Mother's Name: Farida Begum

7. Present Address: House-122/5

North Mughdapara
Dhaka 1214

8. Permanent Address:150-Pagar Pathan Para

Post office-Monnunagar,Tongi
Gazipur

9. Phone/Mobile No: 01816053650 10. Email: mahabubanadia@gmail.com

11. Date of Birth: 01-12-1994 12. Place of Birth: Faridpur

13. Gender: Female 14. Marital Status: Single

15. Nationality: Bangladeshi 16. Religion: Islam

17. Whether Presently Employed? Yes ( Part-time )

 Serial No. of Application Form Name: Mahabuba Akther
050438

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)
Mohammadpur Girls High School,Dhaka Education
S.S.C 2009 01/01/2007 26/05/2009 5.0 5.0
Board
Birsreshtha Munsi Abdur Rouf Rifles college,Dhaka
H.S.C 2011 01/06/2009 27/07/2011 3.30 5.0
Education Board

Bachelor of Science 2015 Institute of Science & Technology,National University 15/03/2012 12/07/2017 3.10 4.0

19. Experience (at most two):

Duration
Designation Organization Brief Description of Job
From To
Assistant Teacher 01/05/2017 22/09/2017 National Model High School & College Teaching

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: Ditee Yasmeen,Assistant Professor,Dept of CSE 2. Name: Md. Abdul Mazid,Associate Professor
Address: IST,Dhanmondi Address: IST Dhanmondi
54,Road-15/A, Dhanmondi 54,Road-15/A,Dhanmondi
Dhaka Dhaka
Phone/ Mobile No: 01911027007 Phone/ Mobile No: 01716354131

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: Mahabuba Akther
050438

Applicant's Undertaking

I hereby apply for admission into the M.Sc. Engg./ M. Engg. program in Computer Science
and 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 16 September to 24 September, 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.
 Serial No. of Application Form Name: Mahabuba Akther
050438

LETTER OF CONSENT
(To be Filled in by Candidates in Employment)

Name of the Organization:

Address:
Phone No:

Statement from the Employer/ Head of the Office

Ms. Mahabuba Akther, Designation , an applicant for

admission into M.Sc. Engg./ M. Engg. program in Computer Science and Engineering of
Bangladesh University of Engineering and Technology (BUET), is employed full-time/ part-time in
my office. I have no objection to her enrollment as a full-time/ part-time student. If selected for
admission, she will/ will not be on deputation while pursuing the program. She will be accorded
necessary leave/recess to facilitate her study at BUET.

Date: (Signature of the Employer/ Head of the Office)

Name:
Designation:
Mobile No:
Official Seal
 Office Copy
BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY
Postgraduate Admission : October 2017
Receipt of Application Form
Serial No. of Application Form: 050438
Dept./ Inst: Department of Computer Science and Engineering
Program: M.Sc. Engg./ M. Engg. (CSE)
Name: Mahabuba Akther
Father's Name: Ahasan Ullah
Mother's Name: Farida Begum
Taka 500/-(Five Hundred) received with thanks.
___________________________________ Seal
Signature of the Receiving Officer:
Date:
Applicant's are advised to contact the respective department/
institute for information regarding the admission procedure.
Applied on 14-03-2017 12:30:43 AM using IP 182.48.78.2
Applicant's Copy
BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY
Postgraduate Admission : October 2017
Receipt of Application Form
Serial No. of Application Form: 050438
Dept./ Inst: Department of Computer Science and Engineering
Program: M.Sc. Engg./ M. Engg. (CSE)
Name: Mahabuba Akther
Father's Name: Ahasan Ullah
Mother's Name: Farida Begum
Taka 500/-(Five Hundred) received with thanks.
___________________________________ Seal
Signature of the Receiving Officer:
Date:
Applicant's are advised to contact the respective department/
institute for information regarding the admission procedure.
Applied on 14-03-2017 12:30:43 AM using IP 182.48.78.2