MBA Application Form 2015

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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
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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.