Appl MS Graduate

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Admission Test Pass No____________________

North South University


School of Applied Sciences
12 Kemal Ataturk Avenue, Banani, Dhaka-1213, Bangladesh. Tel: 9885611-20, Fax: 8823030

A P P L I C A T I O N F O R A D MI S S I O N I N G R A D U A T E
P R O G R A MS
Application for admission in: Year 20___ Spring (Jan-Apr) Summer (May-Aug) Fall (Sep-Dec)
1. Name (in block letters):
____________________________________________________________________
First Name Middle Name Last Name Other Name
Please affix a passport
Date of Birth: Day_____ Month _____Year_____ Place of Birth________________ size photograph
here
2. Gender & Marital Status: Male Female Married Single

Other (Specify)________________________________________________________

3. Mailing Address:____________________________________________________

4. Permanent Address:______________________________________________________________________

Telephone: Home:___________________________________ Office:_________________________________

Fax: _________________________________ E-mail:_________________________________________

5. Father’s/Husband’s Name (In block letters):

First Name Middle Name Last Name Other Name

Profession_________________________Telephone: Home:__________________Office:__________________

Mobile:_______________________ Fax:_______________________ E-mail:_________________________

6. Mother’s Name (In block letters):

First Name Middle Name Last Name Other Name

Profession_________________________Telephone: Home:__________________Office:__________________

Mobile:_______________________ Fax:_______________________ E-mail:_________________________

7. Which program you wish to pursue?

MS in Computer Science & Engineering MS in Electronic & Telecommunications Engineering

Others

8. Have you taken GRE/TOEFL? Yes No


If yes, write your scores below:

GRE scores:____________Date taken ___________TOEFL scores:____________Date taken ______________


9. List the schools, colleges and universities you have attended, with dates of attendance.
S.S.C./GCE O’ Level Subjects:
Institution Board/University From(mm/yy) To(mm/yy) Division/Class/GPA/Marks

H.S.C./GCE A’ Level Subjects:


Institution Board/University From(mm/yy) To(mm/yy) Division/Class/GPA/Marks

Bachelor Degree in
Institution College/University From(mm/yy) To(mm/yy) Division/Class/GPA/Marks

Master’s Degree in
Institution College/University From(mm/yy) To(mm/yy) Division/Class/GPA/Marks

10. Why do you want to pursue graduate studies at NSU?

11. Research/Project experience:

12. Work Experience:

13. Have you ever been dismissed, suspended or expelled from any institution of learning?

Yes No If yes, describes briefly or attaches a statement.

14. Were you admitted into any academic program of NSU before? Yes No
If yes, state ID# and date of admission.

15. Attached Documents:

16. I hereby accept that if admitted to North South University, I will be bound by the rules and regulations of
the university and the NSU student code of conduct.

I accept that manufacture, distribution, possession and consumption of tobacco products, alcohol,
drugs and controlled substances are strictly prohibited in NSU premises and that I may be expelled
for violating this rule or for abetting violators.
I agree that withholding information requested in this application or giving false information will make me
ineligible for admission into NSU and liable to be dismissed if admitted. I hereby certify that the above
statements are correct and complete to the best of my knowledge.

_____________________ _____________________
Date Signature of Applicant

Note: The application will not be processed unless signed.

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