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Financial Aid Form - Independent University, Bangladesh

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Independent University, Bangladesh

Financial Aid Office

Application for Financial Aid/ tuition fees discount

Please note:

Please provide all information in full. Students' academic performance will be reviewed at the end of each semester for continuation of the waiver. Incomplete form may result in denial.

Name of the student :

Student's ID :

Postal Address :

Telephone (Mobile and Land phone both) :

Date of birth :

E-mail :

Do you enjoy any other Tuition fees waiver/ Financial Aid offer by IUB? Yes. No.

If Yes , please tick the following:

□ Based on pre University Result □ Merit Scholarship (100%)

□ Top scorer at IUB Admission Test □ Special case

□ Others (please specify)

From which semester and year: Discount Percentage (%):

Name of your sibling/spouse (if any student in IUB) : ID :

Academic Performance:

SSC/O’ Level Year: Result:

HSC/A’ Level Year: Result:

Last completed semester at IUB Total earned credits: CGPA:

Signature of the applicant: Date:

Recent passport size

photograph (one copy)

(2)

Financial Guarantor Information

Financial Guarantor's Name:

Address : Occupation:

Telephone/cell number:

Relationship with the applicant :

□ Father □ Mother □ Spouse □ Employee □ Self □ Others (Please specify)

No. of dependents for whom tuition is paid :

Financial Information:

 Annual income □ Amount (Taka)

 Salary (per month)

 Business

 Agriculture

 Investments

 Others(Please specify)

 Assets/ Property □ Amount(Taka)

Signature of the Financial guarantor Date:

Please submit the following required papers for Financial aid/tuition fees waiver:

(a) TIN Certificate of financial guarantor.

(b) Financial guarantor’s last three months’ bank statement.

(c) Employee should submit Employer’s salary certificate from the employer.

(d) Businessmen will submit a photocopy of the business trade license.

(e) Birth certificates of both applicants (only for siblings).

(f) Marriage certificate (only for spouse).

(g) Freedom Fighter’s Child category:

Documents to be submitted:

1. Certificate of a Freedom Fighter.

2. Gazette copy.

3. Certificate for the child from Ministry of Liberation War of Bangladesh Government.

4. Birth certificate of the freedom fighter’s child.

Notes:

 All papers should be duly attested.

 Show all original documents during the submission time.

Please provide two Reference names whom IUB can contact if needed :

□ Name: □ Relation: □ Contact No.:

□ Name: □ Relation: □ Contact No.:

Signature of the Unit Head Signature of Financial Aid Officer Date: Date:

Referensi

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