Professional Documents
Culture Documents
NSU
School of Business
Plot # 15, Block # B, Bashundhara R/A, Dhaka-1229, Bangladesh, Phone: 885-2000, Fax: 885-2016, 884-5165
Year
______________
Middle Name
____________
Last Name
_____________
Other Name
______________ ___________
Place of Birth
Citizenship
Please affix
two passport
size
photographs
here
Female
Single
Mailing Address:
_______________________ ____________________________
House / Apt #
Street/Road
_______________________________
Village & P.S.
_______________________ _____________________________
District/City
Postal Code
_______________________________
Country
INSTRUCTIONS
The application processing fee of Tk.1000 (U.S. $15.00 for overseas applicants) is nonrefundable.
Application Forms are available at United Commercial Bank Ltd (UCBL), Bashundhara R/A Branch.
Applications will not be processed without a complete application package which includes (1) completed
application form, (2) one set of all certificates and mark sheets/ transcripts (attested), (3) three passport size
photographs of the applicant, (4) photocopy of National ID Card (You may submit the ID card within one
year if not available now), and (5) Appointment letter and experience certificate (attested), if any.
Decision regarding admissions will be based on the candidates academic background and performance in the
written and oral tests. The decision of the MBA admissions committee shall be final.
Remarks
Page 2
3.
4.
Permanent Address:
_____________________________________________________
House / Apt #
Street/Road
_______________________________
Village & P.S.
_____________________________________________________
District/City
Postal Code
_______________________________
Country
5.
Telephone:
___________________
Home
______________________
Office
Fax : ______________________________
6.
______________________
Mobile
E-mail : _____________________________
7.
______________________
Home
______________________
Office
______________________
Mobile
8.
______________________
Office
______________________
Mobile
List the schools, colleges and universities you attended (start with the latest degree):
Degree /
Exam
9.
______________________
Home
Name of Institution
Board/
University/
Country
Yes
Year of
Passing
Group
No
Class /
Division/
CGPA
Page 3
10. Who will pay your tuition and fees?
Self
Father/Husband
Mother
Other
______________________
Home
Fax: ______________________________
______________________
Office
______________________
Mobile
E-mail: ____________________________________
Position/Title
Instructions:
Dates
(From To)
Page 4
12. Do you have a major handicap?
Yes
No
Yes
No
14. (a) Have you ever been dismissed, suspended or expelled from any academic institution?
Yes
No
...
(b) Have you ever been dismissed, suspended or expelled from any business organization?
Yes
No
...
15. Were you admitted to any academic program of NSU before? Yes
No
I accept that manufacturing, distribution, possession and consumption of tobacco products, alcohol, drugs
and controlled substances are strictly prohibited in NSU premises and that I may be expelled for violating
this rule or for abetting violators.
I agree that withholding information requested in this application or giving false information will make me
ineligible for admission into NSU and liable to be dismissed if admitted. I hereby certify that the above
statements are correct and complete to the best of my knowledge.
_____________________
Date
_____________________________
Signature of Applicant
Note: The application will not be processed unless signed by the applicant.
Please affix
a passport
size
photograph
here