Application
Content
BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY, DHAKA
Serial No. of Application Form
Roll No. for Admission Test
100200
APPLICATION FORM
FOR ADMISSION INTO
POSTGRADUATE PROGRAM
Semester: October, 2014
For Office Use
Reg No.
Student No.
Signature:
[Seal]
Staple here
two attested copies of
recent passport-size
color photographs.
(same photographs that
you have submitted
during online application)
Bangladesh University of Engineering and Technology
1. The Degree/ Diploma Program in which you want to apply for: M.Sc. Engg./ M. Engg. program
in Mechanical Engineering
2. Desired Status of Studentship: Part-time
3. Particulars of Previous Postgraduate Admission in BUET: N/A
4. Name in Full: Abu Saleh Musa Jangi
Name in Bangla:
5. Father's Name: Md. Saiful Islam
6. Mother's Name: Most. Sazeda Islam
7. Present Address: H#79, Road#2, KolaBagan, Dhaka
8. Permanent Address:Modalpara (Near to Bou Bazar), Pabna Sadar,
Pabna-6600
9. Phone/Mobile No: 01717821024
10. Email: [email protected]
11. Date of Birth: 16-03-1990
12. Place of Birth: Pabna, Bangladesh
13. Gender: Male
14. Marital Status: Single
15. Nationality: Bangladeshi
16. Religion: Islam
17. Whether Presently Employed? Yes ( Full-time )
Serial No. of Application Form
Name: Abu Saleh Musa Jangi
100200
18. Academic Records (SSC and above, at most six):
Examination
Passed or
Degree Awarded
Year
of
Passing
Name of Institution, and
Board/ University
S.S.C.
2005
Pabna Gopal Chandra Institution and Rajshahi
H.S.C.
2007
B.Sc. in Mechanical
Engineering
2012
Duration
% of
Marks,
or GPA
(if applicable)
01/01/2003 03/05/2005
4.88
5.00
Govt. Shahid BulBul College, Pabna and Rajshahi
01/06/2014 03/12/2007
4.70
5.00
Khulna University of Engineering & Technology
10/01/2008 14/06/2012
2.92
4.00
From
To
GPA
Scale
19. Experience (at most two):
Designation
Asst. Manager (Heat Engg
Dept.
Duration
From
To
17/07/2014
07/09/2014
Organization
Brief Description of Job
Modern Erection (IS) Limited (MEL IS)
Waste heat recovery system design &
implementation.
20. Name of two referees not related to you (at least one of whom must have taught you in the
institution last attended).
1.
Name: Md. Rafiqul Alam
Address: Director, MEL IS
223/B, Tejgaon I/A,
Dhaka-1208, Bangladesh
Phone/ Mobile No: 01711522928
2.
Name: Mohammad Mashud
Address: Professor, ME Dept., KUET
Phone/ Mobile No: 01713255226
Important
Your admission will be provisional until the authority is satisfied that you possess minimum
requirements for admission according to the decision (if necessary) of the Equivalence Committee of
the University. Your admission will be cancelled if you furnish any wrong information or forged
document(s) and fail to submit any required document(s) within the stipulated time.
Serial No. of Application Form
Name: Abu Saleh Musa Jangi
100200
Applicant's Undertaking
I hereby apply for admission into the M.Sc. Engg./ M. Engg. program in Mechanical
Engineering.
I agree to abide by all rules and regulations of the University.
Date:
(Signature of the Applicant)
For University Use
1. Is equivalence of degree(s) done? Yes
No
Not required
2. Recommended/ Not recommended for admission as a part-time/ full-time student.
Date:
(Head of the Department/ Director of the Institute)
(Seal)
The following documents must be attached with the completed Application Form:
1. Two attested copies of recent passport-size color photographs (write your name on the reverse
side of each photograph).
2. Attested copies of certificates of all public examinations.
3. Attested copies of transcripts/ grade-sheets/ mark-sheets of degrees obtained.
4. Attested copies of testimonial/ character certificate from the institution last attended.
5. Letter of Consent, in prescribed form, from the employer for applicants in part-time or full-time
employment.
Important Notes to Applicants:
1. Upon submission of the online application, the printed copy of the completed Application Form with
necessary documents (as described above) must be submitted to Registrar, BUET, Dhaka 1000,
Bangladesh within the period from 27 August to 10 September, 2014 during office hours (9:00 am to 5:00
pm). Failure to submit the same will result in cancellation of your online submission.
2. Non-refundable application fee of Tk. 500/- (Five Hundred) must be paid in cash as application fee at the
time of submission of complete application to Registrar Office, BUET.
3. Application submitted by mail will NOT be accepted.
Serial No. of Application Form
Name: Abu Saleh Musa Jangi
100200
LETTER OF CONSENT
(To be Filled in by Candidates in Employment)
Name of the Organization:
Address:
Phone No:
Statement from the Employer/ Head of the Office
Mr. Abu Saleh Musa Jangi, Designation
, an applicant for
admission into M.Sc. Engg./ M. Engg. program in Mechanical Engineering of Bangladesh
University of Engineering and Technology (BUET), is employed full-time/ part-time in my office. I
have no objection to his enrollment as a full-time/ part-time student. If selected for admission, he will/
will not be on deputation while pursuing the program. He will be accorded necessary leave/recess to
facilitate his study at BUET.
Date:
(Signature of the Employer/ Head of the Office)
Name:
Designation:
Official Seal
Mobile No:
Office Copy
Applicant's Copy
BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY
BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY
Postgraduate Admission : October 2014
Postgraduate Admission : October 2014
Receipt of Application Form
Serial No. of Application Form:
100200
Receipt of Application Form
Serial No. of Application Form:
100200
Dept./ Inst: Department of Mechanical Engineering
Dept./ Inst: Department of Mechanical Engineering
Program: M.Sc. Engg. (Mech)
Program: M.Sc. Engg. (Mech)
Name:
Name:
Abu Saleh Musa Jangi
Abu Saleh Musa Jangi
Father's Name: Md. Saiful Islam
Father's Name: Md. Saiful Islam
Mother's Name: Most. Sazeda Islam
Mother's Name: Most. Sazeda Islam
Taka 500/-(Five Hundred) received with thanks.
___________________________________
Signature of the Receiving Officer:
Date:
Taka 500/-(Five Hundred) received with thanks.
Seal
___________________________________
Signature of the Receiving Officer:
Date:
Seal
Applicant's are advised to contact the respective department/
institute for information regarding the admission procedure.
Applicant's are advised to contact the respective department/
institute for information regarding the admission procedure.
Applied on 07-09-2014 03:56:16 PM using IP 180.234.43.203
Applied on 07-09-2014 03:56:16 PM using IP 180.234.43.203
Serial No. of Application Form
Roll No. for Admission Test
100200
APPLICATION FORM
FOR ADMISSION INTO
POSTGRADUATE PROGRAM
Semester: October, 2014
For Office Use
Reg No.
Student No.
Signature:
[Seal]
Staple here
two attested copies of
recent passport-size
color photographs.
(same photographs that
you have submitted
during online application)
Bangladesh University of Engineering and Technology
1. The Degree/ Diploma Program in which you want to apply for: M.Sc. Engg./ M. Engg. program
in Mechanical Engineering
2. Desired Status of Studentship: Part-time
3. Particulars of Previous Postgraduate Admission in BUET: N/A
4. Name in Full: Abu Saleh Musa Jangi
Name in Bangla:
5. Father's Name: Md. Saiful Islam
6. Mother's Name: Most. Sazeda Islam
7. Present Address: H#79, Road#2, KolaBagan, Dhaka
8. Permanent Address:Modalpara (Near to Bou Bazar), Pabna Sadar,
Pabna-6600
9. Phone/Mobile No: 01717821024
10. Email: [email protected]
11. Date of Birth: 16-03-1990
12. Place of Birth: Pabna, Bangladesh
13. Gender: Male
14. Marital Status: Single
15. Nationality: Bangladeshi
16. Religion: Islam
17. Whether Presently Employed? Yes ( Full-time )
Serial No. of Application Form
Name: Abu Saleh Musa Jangi
100200
18. Academic Records (SSC and above, at most six):
Examination
Passed or
Degree Awarded
Year
of
Passing
Name of Institution, and
Board/ University
S.S.C.
2005
Pabna Gopal Chandra Institution and Rajshahi
H.S.C.
2007
B.Sc. in Mechanical
Engineering
2012
Duration
% of
Marks,
or GPA
(if applicable)
01/01/2003 03/05/2005
4.88
5.00
Govt. Shahid BulBul College, Pabna and Rajshahi
01/06/2014 03/12/2007
4.70
5.00
Khulna University of Engineering & Technology
10/01/2008 14/06/2012
2.92
4.00
From
To
GPA
Scale
19. Experience (at most two):
Designation
Asst. Manager (Heat Engg
Dept.
Duration
From
To
17/07/2014
07/09/2014
Organization
Brief Description of Job
Modern Erection (IS) Limited (MEL IS)
Waste heat recovery system design &
implementation.
20. Name of two referees not related to you (at least one of whom must have taught you in the
institution last attended).
1.
Name: Md. Rafiqul Alam
Address: Director, MEL IS
223/B, Tejgaon I/A,
Dhaka-1208, Bangladesh
Phone/ Mobile No: 01711522928
2.
Name: Mohammad Mashud
Address: Professor, ME Dept., KUET
Phone/ Mobile No: 01713255226
Important
Your admission will be provisional until the authority is satisfied that you possess minimum
requirements for admission according to the decision (if necessary) of the Equivalence Committee of
the University. Your admission will be cancelled if you furnish any wrong information or forged
document(s) and fail to submit any required document(s) within the stipulated time.
Serial No. of Application Form
Name: Abu Saleh Musa Jangi
100200
Applicant's Undertaking
I hereby apply for admission into the M.Sc. Engg./ M. Engg. program in Mechanical
Engineering.
I agree to abide by all rules and regulations of the University.
Date:
(Signature of the Applicant)
For University Use
1. Is equivalence of degree(s) done? Yes
No
Not required
2. Recommended/ Not recommended for admission as a part-time/ full-time student.
Date:
(Head of the Department/ Director of the Institute)
(Seal)
The following documents must be attached with the completed Application Form:
1. Two attested copies of recent passport-size color photographs (write your name on the reverse
side of each photograph).
2. Attested copies of certificates of all public examinations.
3. Attested copies of transcripts/ grade-sheets/ mark-sheets of degrees obtained.
4. Attested copies of testimonial/ character certificate from the institution last attended.
5. Letter of Consent, in prescribed form, from the employer for applicants in part-time or full-time
employment.
Important Notes to Applicants:
1. Upon submission of the online application, the printed copy of the completed Application Form with
necessary documents (as described above) must be submitted to Registrar, BUET, Dhaka 1000,
Bangladesh within the period from 27 August to 10 September, 2014 during office hours (9:00 am to 5:00
pm). Failure to submit the same will result in cancellation of your online submission.
2. Non-refundable application fee of Tk. 500/- (Five Hundred) must be paid in cash as application fee at the
time of submission of complete application to Registrar Office, BUET.
3. Application submitted by mail will NOT be accepted.
Serial No. of Application Form
Name: Abu Saleh Musa Jangi
100200
LETTER OF CONSENT
(To be Filled in by Candidates in Employment)
Name of the Organization:
Address:
Phone No:
Statement from the Employer/ Head of the Office
Mr. Abu Saleh Musa Jangi, Designation
, an applicant for
admission into M.Sc. Engg./ M. Engg. program in Mechanical Engineering of Bangladesh
University of Engineering and Technology (BUET), is employed full-time/ part-time in my office. I
have no objection to his enrollment as a full-time/ part-time student. If selected for admission, he will/
will not be on deputation while pursuing the program. He will be accorded necessary leave/recess to
facilitate his study at BUET.
Date:
(Signature of the Employer/ Head of the Office)
Name:
Designation:
Official Seal
Mobile No:
Office Copy
Applicant's Copy
BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY
BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY
Postgraduate Admission : October 2014
Postgraduate Admission : October 2014
Receipt of Application Form
Serial No. of Application Form:
100200
Receipt of Application Form
Serial No. of Application Form:
100200
Dept./ Inst: Department of Mechanical Engineering
Dept./ Inst: Department of Mechanical Engineering
Program: M.Sc. Engg. (Mech)
Program: M.Sc. Engg. (Mech)
Name:
Name:
Abu Saleh Musa Jangi
Abu Saleh Musa Jangi
Father's Name: Md. Saiful Islam
Father's Name: Md. Saiful Islam
Mother's Name: Most. Sazeda Islam
Mother's Name: Most. Sazeda Islam
Taka 500/-(Five Hundred) received with thanks.
___________________________________
Signature of the Receiving Officer:
Date:
Taka 500/-(Five Hundred) received with thanks.
Seal
___________________________________
Signature of the Receiving Officer:
Date:
Seal
Applicant's are advised to contact the respective department/
institute for information regarding the admission procedure.
Applicant's are advised to contact the respective department/
institute for information regarding the admission procedure.
Applied on 07-09-2014 03:56:16 PM using IP 180.234.43.203
Applied on 07-09-2014 03:56:16 PM using IP 180.234.43.203
