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2024 Post-Graduate Application Form Final

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To be filled in by the Registrar, IUT

Application No. :
Recent
Passport-size Student No. :
Photograph Programme :
(2 copies) Dept. :
Country :

ISLAMIC UNIVERSITY OF UNIVERSITE ISLAMIQUE DE


TECHNOLOGY (IUT) TECHNOLOGIE

ORGANISATION OF ISLAMIC COOPERATION (OIC)


GAZIPUR, BANGLADESH
APPLICATION FOR ADMISSION
TO
Tick intended programme PhD, MScEng, MEng, MScTE and PGDTE
(Doctor of Philosophy, Master of Science in Engineering, Master of Engineering, Master of
Science in Technical Education and Postgraduate Diploma in Technical Education)
ACADEMIC YEAR 2023-2024
All applications must accompany attested copies of Academic Certificates/Diplomas, Mark-sheets/Transcripts, Testimonials
etc. and Medical Reports. If selected, originals are to be produced to the University at the time of registration.
PART-A
(This part is to be filled by the applicant. Please type or use clear block letters throughout. Applicants are advised to
read carefully the “Announcement for Admission” before filling the form)

1. Name of the Applicant Blood Group : Tel. No.:

2. (a) Father’s name Occupation : Tel. No.:

(b) Mother’s Name Occupation : Tel. No.:

(c) Guardian’s Name Occupation : Tel. No.:

3. Nationality 4. Religion: 5. Gender:

6. Date of Birth 7. National ID No. :

8. Passport Number : Date of Issue : Date of Expiry :

9. Present / Mailing (Postal) Address:

Tel: Fax: e-mail :

10. Permanent Address (Home Country):

11. Nearest Bangladesh Embassy for Visa to enter Bangladesh:


12. Academic Records (Attach attested copies of Academic Certificates/Diplomas/Transcripts/ Mark sheets etc. of the respective Examinations and English translation,
if needed)
Name of the Examination Degree/Diploma/ Year of Minimum years Name of the Name of the Institution Division/
Passed certificate obtained Passing required for this Board/University Attended Class/
certificate/ conducting the Field of study CGPA
diploma/degree Examination Obtained

Secondary School
Certificate, O-Level or
Equivalent

Higher/Upper Secondary
School Certificate,
A-Level or Equivalent

Bachelor Degree in
Engineering/Technology/
Technical Education

Master Degree in
Engineering/Technology/
Technical Education

Other Examinations
(Please specify)

English Language
proficiency certificate
preferably TOEFL /
IELTS , etc. (If any)
13. Programmes of Study
The candidate will put a tick mark ( ) in one appropriate box of his programme of studies. (Tick any one box)

(a) Doctor of Philosophy in Mechanical Engineering


Electrical and Electronic Engineering
Technical Education
Computer Science and Engineering
Civil Engineering

(b) Master of Science in Mechanical Engineering


Electrical and Electronic Engineering
Computer Science and Engineering
Civil Engineering

(c) Master of Engineering in Mechanical Engineering


Electrical and Electronic Engineering
Computer Science and Engineering
Civil Engineering

(d) Master of Science in Technical Education (MScTE) Mechanical Engineering


with specialization in Electrical and Electronic Engineering
[OIC full Scholarship] Computer Science and Engineering

Note: (i) Candidates selected as full time resident student for the Post-Graduate programmes in Engineering shall have to
deposit initially US$ 3,500 (cost for first two semesters only) by transferring it to account as below before admission;

INTERNATIONAL APPLICANTS HOST COUNTRY APPLICANTS


ACCOUNT NAME: ISLAMIC UNIVERSITY ACCOUNT NAME: ISLAMIC UNIVERSITY
OF TECHNOLOGY OF TECHNOLOGY
FC ACCOUNT NO: 4004-099724-030 ACCOUNT NO: SND-4018-085407-430
AB Bank Ltd., Motijheel Corporate AB Bank Ltd., Board Bazar Branch,
Branch, Dhaka, Bangladesh. Gazipur, Dhaka, Bangladesh
SWIFT CODE: ABBLBDDH 004 SWIFT CODE: ABBLBDDH XXX

Non-resident students will have to deposit US$ 55 per credit. Please note that none of the selected candidates will be
allowed to register if he fails to make the payment. Candidates selected for MScTE and PGDTE are OIC sponsored
for specified programme duration only.
(ii) All bank/collection charges are to be borne by the applicant.
(iii) For further details, please contact Registrar’s Office on e-mail: admission@iut-dhaka.edu
14. Statement of Purpose/Study Plan (within 800-1000 words): (Use separate sheets)
15. Job Experience Including Teaching (Please attach supporting Certificate).

Name of Organisation Position held From To Nature of Job

16. Medical Report [please attach the following detailed Reports from any Authorized Medical Board/ Medical Practitioner]
Medical Certificate;
i) General Fitness (physical and mental) from medical specialist.
ii) Eye examination report from Eye Specialist.
iii) Hearing report from ENT Specialist with audiometry.
Laboratory Test with detailed reports; iv) Chest-X-Ray with Report. ix) HBsAg Report
i) Complete Blood Count (CBC) v) ECG x) HIV Screening Report
vi) Blood Group xi) Urine RME & C/S
ii) Random Blood Sugar (RBS).
vii) MT Test. xii) Coronavirus Certificate
iii) Serum Creatinine. xiii) Hepatitis C
viii) VDRL Report

(N.B. Instead of a summarized medical certificate individual detailed laboratory reports MUST be presented. All reports must
be issued from accredited medical sources. Candidates having contagious and communicable diseases or cardiac problems are
not eligible for admission).

17. DECLARATION
I certify that the statement made by me herein is complete and true to the best of my knowledge and belief. I understand
that any willful misstatement tenders me liable to dismissal from the University. I further declare that I shall abide by all the
rules and regulations of the University as may be amended from time to time including those of discipline. I also declare that
on provisional selection for postgraduate programme in Engineering as full time resident student, I will arrange to deposit US$
3,500 or any other specified amount to IUT Account before registration or as a non-resident student I will arrange to deposit
tuition fee US$ 55 per credit.

Signature of the Guardian with date Signature of the Applicant with date
PART-B
(To be filled in by the Nominating Authority of Applicant's Country)

18. Mr.

is hereby nominated.

Signature of the Nominating Authority


Designation :
SEAL
Address :
Date:

Tel: Fax: E-mail:

Note for Applicants


(i) The selection of the students will be made by the Post-graduate Committee of the respective department of the University
taking into consideration of their academic performance and past conduct.
(ii) All regular and resident students will be provided food, accommodation, tuition, normal medicare, pocket allowance,
games and sports facilities, subject to availability of funds.
(iii) A postgraduate student in any field of Engineering may opt to become non-resident. In that case the student is required
to pay tuition fee only at the rate of US $ 55 per credit. This type of student is not entitled to receive other facilities as
mentioned in (ii) above.
(iv) The applications should be sent through the Nominating Authority as per advertisement made by the respective Govern-
ment. The last date for submission of application forms shall be on Thursday 29 February 2024.
(v) It is to be noted that candidates may also apply directly through IUT web portals in accordance with Admissions Guide-
lines (admission.iutoic-dhaka.edu), however, preference will be given to the nominated candidates.

REGISTRAR’S OFFICE
ISLAMIC UNIVERSITY OF TECHNOLOGY (IUT)
BOARD BAZAR, GAZIPUR-1704, BANGLADESH
E-mail: admission.iutoic-dhaka.edu

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