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.