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 mn 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)
Student ID Program Student ID
Program
Ending Semester and Year
Academic Information
For Second Degree For First Degree
Major Area of Study (If any)
Major Area of Study (If any)
: 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 Photograph
P.T.O
N.B: For payment through Bank Transfer : MIU Convocation account numbe is 2050 177 09000 12417 (Islami Bank Bangladesh Ltd. 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 the Examinations
Main Certificate may be issued
Office of the Controller of Examinations
3. For the students, who have already collected main certificate(s), have to pay Taka 3000/- for a single degree and Taka 5000/- for double degrees
Registration Fee:
1. BDT 7000/- (Taka seven thousand only) for a single degree
2. BDT 10,000/- (Taka ten thousand only) for both Bachelor & Master degree
1. Three(3) copies of Passport size colored photographs.
2. Copies of all academic certificates (SSC, HSC/ Equivalents).
3. Transcript of the Bachelor's Degree (for MBA & MA).
4. Registration Fee Payment Document: Receipt/ Pay Order/ Bank Draft.
Necessary Documents to attached
5. Provisional Certificate must be surrendered to the Office of the Controller of Examinations, at the time of receiving the Main Certificate.
*N.B: Please print this form on both-sides and submit it to the Controller of Examinations.
