Paste Here KHULNA UNIVERSITY Management and Business Administration Discipline Application Form for MBA (Day) Admission Session: 2014-15 One Recent Passport Size Color Photo Pay order/ Cash Receipt No: Please the read instructions carefully before filling out of this form For Office Use Only Form No.: Registration No.: Roll No.: Date of Admission: Admission Test Roll No.: .............................................................................. Signature of the Chairman, Admission Committee Merit Position: ........................................ Signature of the Registrar Applicant to fill in 1. Full name in block letters (in English): .................................................................................................................................................................. (in Bangla): ................................................................................................................................................................... 2. Father’s Name:........................................................................................................................................................................................................................... 3. Mother’s Name:........................................................................................................................................................................................................................ 4. Address: (a) Present:............................................................................................................................................................................................................. ................................................................................................................................................................................................................................ (b) Permanent:.................................................................................................................................................................................................... ...................................................................................................................................................................................................... Mobile No........................................................................................................................................................................................................... 5. Date of Birth: DD MM YYYY 6. Nationality:............................................................................................................................................. ..................................................................................................................................... ADMIT CARD Paste Here KHULNA UNIVERSITY Management and Business Administration School Application Form for Regular MBA Admission Session: 2014-15 One Recent Passport Size Color Photo For Office Use Only Form No. Admission Test Roll No: 1. Full Name in Block Letters (in English):................................................................................................................................................. 2. Father’s Name:............................................................................................................ ........................................ Signature of the Applicant (Please See Overleaf) 8. Educational Records of the Applicant (Complete this section carefully and correctly. This application will be cancelled if information is incomplete or incorrect): Name of the Examination Year of Passing Board/ University Division/Class/ CGPA Points Obtained SSC/Equivalent HSC/Equivalent Bachelor 2 /3 /4 /5 years (Please Encircle) Master 1/2 years (Please Encircle) Total Points = Applicant’s Declaration The information provided in this application form is true and correct. I accept that Khulna University reserves the right to terminate my admission and award at any time if any item of the information given by me is found to be false or incorrect. I declare that if I get admission in Khulna University: a) I will be subject to all the rules and regulations of the University and MBA program regulations. b) During my studentship here, I will comply with any decision of any authority of the University or decisions of any person authorised by the University. ........................................... Signature of the Applicant For Office Use Only ................................................... Comment of the Medical Officer Fit/Unfit/Temporarily Unfit .......................................... Signature of the Scrutinizer .................................................. Signature of the Medical Officer .......................................... Signature of the Chairman Admission Committee Instructions for Completing the Application Form 1. Affix two recent (not older than 6 months) passport size photographs on the specified boxes. 2. Attach photocopies of all marks sheets and/or transcripts. 3. Filled-in application must be submitted (or reached) to the office of the Head, Business Administration Discipline by post or in person by 4.30pm, March 15, 2015. 4. Please make sure that all the information have been provided in the application form and the admit card properly. 5. Incomplete application will be rejected without any notice. 6. Please collect the admit card (at the time of submitting application form). Without admit card no applicant will be allowed to sit for the Admission Test under any circumstances.
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