Application form for Undergraduate Admission (International Applicants) Academic Session:

(1)

Application form for Undergraduate Admission

(International Applicants) Academic Session:

Khulna University, Khulna-9208, Bangladesh

Please read the instructions carefully and complete the form with appropriate information in English.

*

indicates a mandatory/required field.

Biographical Information

International applicant's name must match the legal name on the passport.The legal name you have entered may be used to communicate with your recommenders. Place a check symbol (✓) where appropriate to indicate selected option, please provide additional information if choosing

“others”.

1. Legal Name

*First Name: Middle Name: *Last Name:

2. *Sex: Male/Female/Others ( ) 3. *Preferred Pronoun: He/She/They/Others ( ) 4. *Date of Birth: / / (dd/mm/yy) 5. *Birth City: 6. *Birth Country:

5. Citizenship Information

*Country of Citizenship: 2

^nd

Country of Citizenship (if any):

6. *Passport No.:

Note: In order to register as a student, Khulna University requires that all those who are not registered Bangladeshi citizens or to obtain and maintain an appropriate visa status for their stay in Bangladesh.

Contact Information

The international applicant's permanent address must match the address on the passport. For the current mailing address please use the [street address, city, province/state, zip code, country] format. Please ensure that the mailing address is valid for at least 6 months after the application deadline. Please enter your contact details carefully to ensure your receipt of timely communications from the department to which you are applying.

8. *Current Address for Correspondence:

9. *Permanent Address:

10. *Active Contact No. (

With country code

): 11. Secondary Contact No. : 12. *Active E-mail Address:

Program Information

For detailed information regarding schools, disciplines and programs at Khulna University, please refer to https://ku.ac.bd in the “Schools”

tab. A student may include up to 3 disciplines to apply within the same school.

13. * Please mention the name of School for your admission:

14. Please mention your preferred discipline for admission. * 1

^st

Preference:

2

^nd

Preference: 3

^rd

Preference:

Educational History I

Mention the high school from which you have received a certificate/diploma of completion for10^th level/Secondary School Certificate (SSC)/ High School Leaving Examination/ GCSE O level/Equivalent level. Submit the transcripts (academic records) from the institution you attended as a full-time student as an attachment to this application.

15. Certificate/Diploma Awarding Institution

*Name of Institution: *City: *Country:

*Dates of Attendance: From / / (dd/mm/yyyy) to / / (dd/mm/yyyy)

Note: If certificate/diploma of completion is not conferred yet, please mention the expected/probable date.

16. *Earned Grade/GPA/ Marks Percentage: (format e.g.: 3.50/4.00; 4.75/5.00; A+, 60%)

Note: Please attach a copy of the official grading scale from your certificate/diploma awarding institution as an attachment to this application.

Student ID:

(2)

Language

20. First Language*: 21. Second Language (if any):

Note: All courses and programs in Khulna University (Except Bangla) are conducted in English. While we do not require an English language proficiency certificate, we highly encourage international students to acquire adequate skills in communicative and academic English before admission.

Declaration

I hereby apply for admission to undergraduate study at Khulna University and certify that the information I have provided in my application is complete, accurate and my own work. I have submitted only one application for admission at Khulna University for the requested academic session indicated on this application. I understand that the admission committee reserves the right to cancel my admission, if the information and/or the documents submitted are false or fabricated.

Signature of the applicant :

Name of the applicant :

Date: Place:

For Official Purposes only

The applicant (……….) has been recommended for admission.

_____________________

Chairman, Admission Committee