EWU Login ID: 201509546

EWU ID NO:
(To be filled in by Admission office)

A/2, Jahurul Islam Avenue, Jahurul Islam City, Aftabnagar, Dhaka-1212, Bangladesh.
Tel: 09666775577, E-mail: admissions@ewubd.edu http://www.ewubd.edu

Admission Test Roll No: 01219

Undergraduate Application Form

EWU Login ID: 201509546 Semester: Spring 2020
1. Program wise order of preference (1st Preference): Bachelor of Business Administration (BBA)
(2nd Preference): LLB (Hons)
(3rd Preference): BA in English
(4th Preference): BSS in Economics
2. Personal Information :
Name of the Applicant: MD. ABIR HOSSAIN PROVAT
Date of Birth: 01-01-2001 Sex: Male Marital Status: Single
Citizenship: Bangladeshi National ID No.
E-mail badhon1131@gmail.com Blood Group: A+
Home Phone Mobile: 01308175133
3. Father's Name: MD. SORWAR HOSSAIN SHAHEN
Contact Number: 01711061190 Email:
Designation: Occupation: Business
Organization Name & Address:
4. Mother's Name: ISRAT JAHAN CHOWDHURY NISHE
Contact Number: 01715360710 Email:
Designation: Lecturer Occupation: Teacher
Organization Name & Address: Konchi Para Degree College
5. Present Address (Father/Mother/Guardian):
Line1: Godown Road
Line2:
Thana: Gaibandha Sadar District: Gaibandha
6. Permanent Address:
Line1: Godown Road
Line2:
Thana: Gaibandha Sadar District: Gaibandha
7. Local Guardian:
Name:
Contact Address:

Page 1 of 3
 EWU Login ID: 201509546

Relationship with the applicant: Phone:

8. SSC or Equivalent
Passing Year: 2017 Board:Dinajpur Roll:818482 GPA:4.05
GPA without Additional Subject: 3.86 Session Year From 2004 to 2005
Registration No: 1417640365
Name of the Institution: AHAMMAD UDDIN SHAH SHISHU NIKETON
Centre Name: Govt Girls School
List the Subjects below:
No. Name all the Subjects (As per transcript) Letter Grade Grade Point
a BANGLA B
b ENGLISH A-
c MATHEMATICS C
d PHYSICAL EDUCATION A
e SCIENCE A-
f ISLAM AND MORAL EDUCATION A+
g FINANCE AND BANKING A
h ACCOUNTING A
i BUSINESS ENTREPRENEURSHIP A-
j INFORMATION AND COMMUNICATION TECHNOLOGY A+
9. HSC or Equivalent
Passing Year: 2019 Board:Dinajpur Roll:419837 GPA:4.25
GPA without Additional Subject:3.92 Session Year From 2006 to 2007
Registration No: 1417640365
Name of the Institution: AHMED UDDIN SHAH SHISHU NIKETAN SCHOOL & COLLEGE
Centre Name:
List the Subjects below:
No. Name all the Subjects (As per transcript) Letter Grade Grade Point
a BANGLA A
b ENGLISH A-
c INFORMATION AND COMMUNICATION TECHNOLOGY A+
d ACCOUNTING A-
e BUSINESS ORGANIZATION & MANAGEMENT A-
f FINANCE A
g PRODUCTION MANAGEMENT & MARKETING A
h
10. SAT / TOEFL / IELTS

Page 2 of 3
 EWU Login ID: 201509546

SAT Score: TOEFL Score: IELTS Score

11. Merit Scholarships, Academic Honors & Awards etc. enjoyed so far
a.
b.
12. Annual Income of Parents Tk. 1500000
13. Were you admitted into East West University before? No
If yes, state ID no. and give the latest status ID:
CGPA Last Studied: Year: Semester:
14. Have you ever been dismissed, suspended or expelled from any educational institution? No
15. Undertaking
I hereby undertake that if I am admitted into East West University, I will, by all means, abide by all decisions, rules and
regulations of East West University and the East West University Disciplinary Code for Students, 2011. In case of any
violation of orders, rules and regulations, I shall accept any punishment imposed upon me by the EWU authority.

I accept that manufacture, distribution, possession and consumption of tobacco products, alcohol, drugs and controlled
substances are strictly prohibited in East West University premises and that I may be expelled for violating this rule or for
abetting violations.

I agree that if I perform well, the university can use my name in all its documents or any other forms wherever relevant /
required. East West University reserves the right to change its policies, curricula or any other matters and to revise its tuition
and other fees as and when necessary.

I also accept that withholding or hiding or distorting any information required in this application or giving false information or
submitting any false / unauthentic document or evidence, shall make me ineligible for admission into East West University and
if admitted, also I shall be liable to be dismissed and or disciplinary action including expulsion, cancellation of my
Admission/Results/Degree (s), as the case may be

☑ I hereby declare that the above statements are correct and complete to the best of my knowledge.
To be filled in during Admission
If qualified in the Admission Test, Applicants will fill in the following properly and submit a
colored printout to EWU Admission Office during Admission.
The applicant will sign during admission in presence of the EWU official concerned. Guardian
will sign only if father and mother are not alive.

Signature of the Father/Mother/Guardian Signature of the Applicant

Full Name (Do not use Block Letter): Full Name (Do not use Block Letter):
Date: Date:

For Official Use only:

Accepted for Admission Deputy Registrar,

Accepted Conditionally/Provisionally Admission Office
Not Acceptable
Scrutiny by & Signature of Deputy Registrar

Page 3 of 3