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INSTITUTE OF INFORMATION TECHNOLOGY Jahangirnagar University, Savar, Dhaka.

Professional Masters in Information Technology (PMIT)

Application for Improvement/Absent/Fail

in

Pre-Trimester/1st Trimester/2nd Trimester/3rd Trimester Final Special Examination 20____

1. Name of Student: ...

(Capital letter)

2. Father’s Name: ...

3. Mother’s Name: …...

4. Class ID/Roll Number: ...

5. (a) Year of Admission/ Intake: ...(b) Semester/Trimester:...

6. Present Address: ...

...

Mobile Number:...

E-mail Address:...

7. Permanent Address: ...

...

8. Improvement/Absent/Fail for Semester Final Examination (PUT A TICK MARK).

9. Course No., Title & Teachers Code of the course(s) in which the applicant wants to appear:

(i) ... (ii)...

(iii) ... (iv)...

10. Number of Courses to be Appeared: ...

11. Course Fees : Tk. ...

(In word: Tk. ...)

Date : ………... Signature of Student

Signature of Course Coordinator (Office Seal)

Checked by:

MEMBER OF COORDINATION COMMITTEE

Referensi

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