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RE020(00) Page1of1

Application Form for Re-admission

Registrar

University of Liberal Arts Bangladesh (ULAB) Dhanmondi, Dhaka

Subject: Re-admission.

Dear Sir,

Please allow me to take re-admission from Spring/Summer/Fall__________term in __________________

program.

My details are given below:

Name: __________________________________________________ ID #____________________________

Term of enrollment: ________________________ Last term at ULAB: __________________________

Cell # _________________________________________

I will pay necessary fees for taking re-admission.

_____________________________

Signature of the Student with date FOR OFFICE USE ONLY

Submitted required documents and results are verified.

________________________

Signature with seal and date 1. Disciplinary Action, if any: Yes No;

2. S/he is likely to complete graduation in _____________________ term;

3. Gap (time) between term of enrollment and re-admission: ________year(s) _______month(s);

4. Special approval needed for additional time: Yes No;

If yes, additional term(s) needed: _____________

5. Additional information, if any ________________

________________________

Signature with seal and date Recommended By:

______________________

Joint Registrar

Approved by:

______________________

Registrar

RE020(00)

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