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Office of the Controller of Examina�ons

2 C O N V O C A T I O N R E G I S T R A T I O N F O R M

n d

: : : :

: : : : Full Name (in Block Letter)

Father's Name (in Block Letter) Mother's Name (in Block Letter) Date of Birth (DD-MM-YYYY)

Cell Phone No

: :

Emergency Contact Number Email Address

Registration Type (Put √ mark) Single Degree Double Degrees

BASIC INFORMATION

Present Address

Permanent Address

: : :

: Yes Sl. No. No

: Yes Sl. No. No

: : :

: Yes Sl. No. No

: Yes Sl. No. No

Have you received the Provisional Certificate? (Put √ mark)

Ending Semester and Year

Have you received the Provisional Certificate? (Put √ mark) Have you received the Main Certificate? (Put √ mark) Have you received the Main Certificate? (Put √ mark)

Program Student ID

Ending Semester and Year

ACADEMIC INFORMATION

For Second Degree For First Degree

Major Area of Study (if any)

Major Area of Study (if any)

Program Student ID

: Employed :

:

Employment Status (Put √ mark) Self-employed Not Employed

Current Designation (If employed/self-employed) Name of Organization (If employed/self-employed)

EMPLOYMENT INFORMATION

Sl. No:

3 Copies of recent PP size Color Photographs

P. T. O.

(2)

N.B: For payment through Bank Transfer : MIU Convocation account numbe is

2050 177 09000 12417

(IBBL, Gulshan Branch)

Amount Paid: ……….... Receipt/Bank Transection ID/Pay Order/Bank Draft No: ………Name of the Bank………

PAYMENT INFORMATION

2) I understand that if the University requirements are not fulfilled, I may not be allowed to attend the Convocation.

DECLARATION BY THE STUDENT

1) I do hereby declare that the above-mentioned information is correct.

Student's Signature

Academic Department Accounts Office

Library OFFICE CLEARANCE

Authorized Officer, Library Authorized Officer, Accounts Head of the Department

Verified by Controller of Examinations

Main Certificate may be issued.

Office of the Controller of Examinations

1. 3(three) copies of passport size color photographs.

2. Copies of all academic certificates (SSC, HSC / Equivalents, Bachelor degree).

3. Transcript of the Bachelor Degree (for MBA & MA).

4. Registration Fee Payment Document: Money Receipt/ Pay Order/ Bank Draft.

NECESSARY DOCUMNETS TO BE ATTACHED

5. Provisional Certificate must be surrendered to the Office of the Controller of Examinations at the time of receiving the Main Certificate.

REGISTRATION FEE:

1. BDT 7000/- (Taka seven thousand only) for a single degree

2. BDT 10,000/- (Taka ten thousand only) for both Bachelor & Masters degree

3. For the students, who have already collected main certificate(s), have to pay Tk. 3000/- for a single degree and Tk. 5000/- for double degrees

Please print this form on both-sides and submit it to the Office of the Controller of Examinations, MIU.

*N.B:

Referensi

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