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Graduate Application Form 22022015

(1) The document is an application for admission to graduate programs at North South University. It requests information such as contact details, family background, academic history, test scores, and work experience from applicants. (2) North South University does not discriminate and is open to all students who meet the academic requirements. Applicants must submit the completed form along with statement of purpose, photographs, transcripts, identity documents and more. (3) By signing, the applicant agrees to abide by the university's rules and that providing false information will make them ineligible for admission. The admission decision will be based on the applicant's academic performance and admission test or interview.

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OrhtoHin
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51 views4 pages

Graduate Application Form 22022015

(1) The document is an application for admission to graduate programs at North South University. It requests information such as contact details, family background, academic history, test scores, and work experience from applicants. (2) North South University does not discriminate and is open to all students who meet the academic requirements. Applicants must submit the completed form along with statement of purpose, photographs, transcripts, identity documents and more. (3) By signing, the applicant agrees to abide by the university's rules and that providing false information will make them ineligible for admission. The admission decision will be based on the applicant's academic performance and admission test or interview.

Uploaded by

OrhtoHin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Admiission Test Pass

P
(TP) No. ________________

No
orth
h Sou
uth Univ
U versiity
Plot # 15, Bloock # B, Bashundhara R/A, Dhakka-1229, Banglaadesh, Phone: 555668200, Fax: 555668202

Applicatiion for Grraduate Prrogram Ad


dmission
h University (NSU) is committeed to the principple of equal opp
portunity and oppen to all students with requireed academic
North South
qualificationns. It does not diiscriminate on th
he basis of race,, sex, religion, naationality or social group.
Instruction
ns: Please compllete all items in this
t application aand submit with accompanying m
materials (outlinned below).
n for admission in:
Application
Spring (Jan-Apr)

S
Summer
(May--Aug)

Fall (Sep-Dec)

Year

Graduate Program (pleease tick your choice)


c
:

Master of Businesss Administratioon (MBA)


M
Exxecutive Master of Business Adm
ministration (EM
MBA)
M
Master
in Public Health
H
(MPH)
Exxecutive Master in Public Healthh (EMPH)
M in Economicss
MS
M
Master
in Developpment Studies (M
MDS)
M
MPharm
in Pharm
macology & Clinnical Pharmacy (MPharmPCP)
(
M
MPharm
in Pharm
maceutical Technnology & Biophaarmaceutics (MP
PharmPTB)
M in Biotechnollogy
MS
M in Environmeental Science andd Management (MSESM)
MS
M in Computer Science
MS
S
and Eng
gineering (MSCS
SE)
M in Electronicss & Telecommunnications Engineeering (MSETE))
MS
M in Electrical & Electronic Enggineering (MSEE
MS
EE)
M in English
MA
M
Master
in Public Policy
P
and Goveernance (MPPG))

Please affiix your passport


size photograph
p
here

Required
R
Materials to Accom
mpany the Applicatioon
Please suubmit your complleted application with the followinng:
(i) a stattement of purposee in 350 words
(ii) two passport size pho
otographs (in adddition to three affix
ixed ones)
(iii) clearr copies of transccripts or mark-sheeets
(iv) phottocopies of parentts National ID caards
(v) phottocopy of applican
nts National ID card/passport
c
(vi) phottographs of parennts/guardian and
(vii) a seet of appointment letter(s), experience certificate(s), visiting card of applicant and suppervisor(s)
(mandatoory for EMBA & EMPH applicantts).

Do not writte in this area (ffor official use only)


o
Accepted

Accepted conditionally

Not acceepted

Note: The decision


d
regardin
ng admission willl be based on the applicant's acaddemic backgroun
nd and performan
nce in the admisssion
test/intervieew. The decision of the graduate admission comm
mittee shall be fin
nal.

1.

n
(in capitall letters)
Your name

Fiirst name

Middle
M
name

Last name

National ID/Passport # _____________


_____________________________________________________
Phone #

Emaiil____________
__________________________

Date off birth :


y
Day

Month

Year

Place of biirth

C
Citizenship

2.

Fathers name: ___________________________________

Mothers name:______________________________________

Occupation: _______________________________________

Occupation: __________________________________________

Designation:______________________________________

Designation: _________________________________________

Work address:____________________________________

Work address:________________________________________

_____________________________________
National ID #

National ID #

Cell phone #

Cell phone #

Email
3.

________________________________________

____________________________________

Email

________________________________________

Mailing address of the applicant


_______
Apt #

______________________
House/Holding #

____________________________
District/State

__________________________
Street/Road

____________________________________
Area/Village/P.S./City

__________________________
Postal code

____________________________________
Country

____________________________
Home phone #
4.

Permanent address (if different from mailing address)


_______
Apt #

______________________
House/Holding #

____________________________
District/State

__________________________
Street/Road

____________________________________
Area/Village/P.S./City

__________________________
Postal code

____________________________________
Country

____________________________
Home phone #
5.

Spouses Name (if married)------------------------------------------------------------------------------------------------------------------------Address------------------------------------------------------------------------------------------------------------------------------------------------Occupation-------------------------------------- Phone #--------------------------------------------Email-----------------------------------------

6.

Who will pay your tuition and other fees?


Self

7.

Parent(s)

Spouse

Other

If other, please specify name, relationship and address of the payer.


Note: All your academic records will be released to this person unless advised otherwise in writing

Name

Relationship

Mailing address

Work phone #

Home phone #

8. Do you have a disability requiring special assistance?


If yes, describe briefly below or attach a statement.

Cell phone #

Yes

Email

No

9. Have you ever been dismissed, suspended or expelled from any institution of learning?
If yes, describe briefly the reason below or attach a statement.

Yes

No

N
before?
10. Were yoou admitted to NSU
If yes, atttach a recent grrade report of NSU.
NS

Yes

N
No

11. List thee universities an


nd colleges you have
h
attended ((starting with the most recent).
Degree/ Exxam

Majoor/Group

Name of instiitution

University/
Board

Year an
nd
semesterr of
passing

Class//Division
/G
GPA

s
other academic honors
h
and awaards you have reeceived.
12. Merit scholarships,

y taken the GRE/GMAT


G
/ TOEFL?
T
13. Have you

Name

Yes

No

Datte taken

S
Score

GRE
GMAT
TOEFL
14. Professional or busineess experience
o employer & address
a
Name of

Position/Tiitle

Su
upervisor's nam
me & phone #

(Please continue
c
to the next
n page)

Do not writee below the perfo


foration

A
Admission Testt Pass

Note

Cell phhones, radio deevices, electronnic dictionaries


and callculators are prrohibited.

Bring your
y
own pens, pencils, sharppeners, erasers,, etc.

Dates
(from--to)

15. I hereby accept that, if I am admitted to North South University, I shall abide by the rules and regulations of the

University and the NSU Student Code of Conduct.


I understand that manufacture, distribution, possession and consumption of tobacco products, alcohol, drugs, and
controlled (illegal) substances at NSU premises are strictly prohibited and that I may be expelled from the
university for violating the prohibition or for abetting violation .

I am aware that withholding information, requested in this application or giving false information will make me ineligible
for admission to NSU, and will render me liable for dismissal, if admitted. I hereby certify that the information and
statements, provided above, are correct and complete to the best of my knowledge.

Signature of applicant

Signature of parent/guardian

Full name (in capital letters)

Full name (in capital letters)

Note : The application will not be processed unless signed.

Admission Test Pass No.

(For official use only). Spring

Summer

Fall

20_____

Please write your name & address below:


Name : ________________________________________________________________
Please affix
a passport
size
photograph
here

Address : ______________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Applicants National ID/Passport #

Phone #

Admission Test Pass No.

(For official use only). Spring

Summer

Fall

20______

Name: ____________________________________________________________________________

Fathers name: _____________________________________________________________________

Mothers name: ____________________________________________________________________

Applicants National ID/Passport #

Phone #

Please affix
a passport
size
photograph
here

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