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    ADMISSION FORM BoMS COURSE Final 1

    Uploaded by

    Mohammad Shafiqul Alam
    This document contains an admission form for a maritime university in Bangladesh. The form requests information such as the applicant's name, address, date of birth, educational qualifications, passport information, and contact details. It also lists the documents required for admission such as photographs, training certificates, and course certificates. At the end, admission committees and officers sign off on whether the applicant is eligible, if fees are paid, and if admission formalities are complete.

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    © All Rights Reserved
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    ADMISSION FORM BoMS COURSE Final 1

    Uploaded by

    Mohammad Shafiqul Alam
    20 views2 pages
    This document contains an admission form for a maritime university in Bangladesh. The form requests information such as the applicant's name, address, date of birth, educational qualifications, passport information, and contact details. It also lists the documents required for admission such as photographs, training certificates, and course certificates. At the end, admission committees and officers sign off on whether the applicant is eligible, if fees are paid, and if admission formalities are complete.

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    ADMISSION-FORM-BoMS-COURSE-final-1

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    This document contains an admission form for a maritime university in Bangladesh. The form requests information such as the applicant's name, address, date of birth, educational qualifications, passport information, and contact details. It also lists the documents required for admission such as photographs, training certificates, and course certificates. At the end, admission committees and officers sign off on whether the applicant is eligible, if fees are paid, and if admission formalities are complete.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views2 pages

    ADMISSION FORM BoMS COURSE Final 1

    Uploaded by

    Mohammad Shafiqul Alam
    This document contains an admission form for a maritime university in Bangladesh. The form requests information such as the applicant's name, address, date of birth, educational qualifications, passport information, and contact details. It also lists the documents required for admission such as photographs, training certificates, and course certificates. At the end, admission committees and officers sign off on whether the applicant is eligible, if fees are paid, and if admission formalities are complete.

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    Passport size color

    photograph

    BANGABANDHU SHEIKH MUJIBUR RAHMAN MARITIME UNIVERSITY, BANGLADESH


    Mirpur-12, Dhaka-1216.

    ADMISSION FORM FOR.............................................. PROGRAM


    (For Official Use Only)

    Form No: Class Roll No:


    Registration No:
    Date of Admission : / / Session:

    (To be filled up by applicant)

    1. Applicant’s Name (In English, Capital): ...................................... ...............................................................

    (বাাংলায়): ............................................ ..........................................................

    2. Father’s Name: ...........................................................................................................................................

    3. Mother’s Name: .........................................................................................................................................

    4. Permanent Address: ...................................................................................................................................

    ......................................................................................................................................................................

    5. Present Address: ..........................................................................................................................................

    ......................................................................................................................................................................

    6. Date of Birth: Day.................................Month……………….................... Year........................................

    7. Nationality: .................................................... 9. Religion: .......................................................................

    8. Marital Status: ........................................... 11. Blood Group: ................................................................

    9. Educational Qualifications:

    Name of Exam Year in Name of Institution Board / University GPA/CGPA/Div/Class


    which
    passed

    10. BMA Batch Number:

    11. Applicant’s Contact details: ................................................. (Mobile)...............................................................

    12. Passport Number/ NID no: ………..……………………………………………..…….………

    13. CDC Number: .………..………………………………………


    UNDERTAKING

    I …………………………………………………………………………. Do hereby certify that this form has been filled up by me

    and the information provided above is complete and correct. I undertake to abide by all the rules and

    regulations of this university and assure to pay all fees & charges duly. I also undertake to abide by any

    decision of the authority of the university regarding academic/administrative affairs.

    Date ………………………………… Applicant’s Signature ………………………………………..……….

    List of Documents Submitted:

    a. 3 copies of passport size recent color photographs(White background)

    b. Pre-Sea Training Certificate/Transcript/Mark Sheet

    c. Documents/Records/Certificates of Shipboard Training

    d. Certificate of Preparatory Course (List of Subjects to be Attached)

    e. Certificates of Ancillary Courses (List to be Attached)

    f. Certificate/Documents of Workshop Training ( If applicable )

    (FOR OFFICIAL USE ONLY)

    This is to certify that the said documents have been submitted by the student and all these documents are
    scrutinized and found correct. The applicant may be considered for admission in... ................... .....................
    .......... .............. program.

    ..................................................................
    Member-Secretary Admission Committee.

    Eligible/Not Eligible ..................................................................


    President, Admission Committee.

    Fees and Charges Deposited/Not Deposited ………………………….……….………….


    Accounts Officer

    All formalities for Admission completed/Not Completed …………………………………….……….


    Assistant Registrar (Admission)

    Note: Application to be submitted through Bangladesh Marine Academy

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