Department of Computer Science & Engineering Independent University Bangladesh
Jukti Club of CSE
R ECRUITMENT F ORM
Academic Information
ID:
Major: Computer Science (CS)
Computer Engineering (CE)
Computer Science & Engineering (CSE) Credit Earned:
Year: Freshmen Sophomore Junior Senior
Personal Information
Full Name:
Email Address:
Contact Number:
Date of Birth:
Father’s Name:
Mother’s Name:
Present Address:
Blood Group:
Serial No. :
Passport Size Photo
Extra-Curricular Activities
*Choose as many as you know Cultural:
Singing
Dancing
Guitar
Acting
Other (Please Specify Below)
Skills:
Photoshop
Excel
Illustrator
Blender
Article Writing
Photography
Hosting
Other (Please Specify Below)
Sports:
Cricket
Football
Chess
Other (Please Specify Below)
Why you want to joint this club?
………
………
………
What you expect from this club and what club can get from you?
………
………
………
Rules and regulations
1. You cannot use club activities as an excuse for any academic work.
2. You will not be provided with any kind of financial support for doing club work. All club related work is solely voluntary.
3. If you cannot attend a club meeting/activity for any reason, you must inform the welfare/other secretary beforehand.
Applicant’s Copy
Serial No.:
Name:
ID:
I ... hereby certify that I have read, understood and agree to abide by the rules and regulations mentioned above.
Receiver’s Signature Applicant’s Signature
