KHULNA UNIVERSITY
SCIENCE, ENGINEERING AND TECHNOLOGY SCHOOL ARCHITECTURE DISCIPLINE
APPLICATION FORM FOR
Master of Architecture (M.Arch.) / Master of Science in Human Settlements (MScHS)
Session 2022-2023
For official use
Registration No: Admission Test Roll No:
Student ID: Position According to Merit:
Date of Admission: Form No. (M.Arch. / MScHS):
1. Name:
To be filled by the Applicant
(in Bangla): ...
(in English): ...
2. Address (including telephone number/cell):
Present: ...
...
Permanent: ...
...
3. Father’s Name: ……….………..
4. Mother’s Name: ………...………
5. Nationality: ………....………..
6. Contact Person with telephone/cell in case of emergency: ………
7. Date of Birth:
DD MM YY
8. Educational Qualification:
Name of Examination Name of Degree Year of
Passing Board/
University Class/Division or CGPA SSC/
Equivalent HSC/
Equivalent
B.Arch./BA/B.Sc./ other Bachelor
Degree
Other Master Degree
9. Professional Experience of Applicant (Begins with the most recent one):
Name of the Organization Position Held Duration (Year and
month)
Major Responsibilities Applicant’s recent passport size photograph
Program (please Tick (√) Appropriate one:
M.Arch. / MScHS
10. Why do you choose to study M.Arch. / MScHS Program at Architecture Discipline, Khulna University? How your personal skills and interests motivate you to apply for this program. (Maximum 250 words)
Applicant’s Declaration I hereby declare that:
a) The information provided in this application form is true and correct. I accept that Khulna University reserves the right to terminate my studentship at any time if any information given by me is found to be false or incorrect.
b) I will abide by all the rules and regulations of the University and the Discipline.
c) I will make my own boarding if the University cannot provide me accommodation.
Signature of the applicant
Instructions for completing the Application Form:
1. Complete the necessary sections of this form properly.
2. Affix one passport size photograph on the specified box.
3. Your application must be submitted or reached to the Head, Architecture Discipline, Khulna University, Khulna- 9208, Bangladesh on before 15 December 2022
4. Make sure that you have completed all the items properly before submitting the form to the Discipline; incomplete Application form may be rejected without assigning any reason.
For official use only
... ………
Comment of the Medical Officer Signature
Fit/Unfit/Conditional Fit ...
Signature of the Discipline Head &
Chairman, Admission Committee
M.Arch. & MScHS Program (Session : 2022-2023) ...
Signature of the Registrar
