Students ’ Commitment Form
Date:
The Registrar
Stamford University Bangladesh.
51 Siddeswari Road, Ramna, Dhaka- 1217
Subject: Approval for Course Registration in ……… 202…. trimester.
Dear Sir:
I am student of your University seeking permission for Registration in ……….. 202….. Detail of Payment Plan is under:
1. My Name 2. ID Number
3. Department/ Program 4. My Dues:
5. Amount Paid: Amount Date
6. Will pay my Dues: Amount Date Tk.
7. Cause of Dues:
8. My Cell phone Number:
9. My e-mail Address:
Parent/Guardian’s Name Relation with Guardian Guardian’s Cell No. Guardian’s Address
In view of the above, I request your kindness to accept the Commitment and grant my prayer.
Yours faithfully,
Attested by Guardian (if available) __________________________
Student’s Signature (Applicant)
______________________