RTM AL KABIR TECHNICAL UNIVERSITY

Campus: TB Gate, Tultikor, Sylhet Sadar, Bangladesh

Telephone: +880 1720 532169, 01766857322 | Email: [email protected]

Admission Application Form

Student ID Number Form SL Number

(Please affix a
The candidate must enclose the following documents (attested) with the application form: passport size
photograph)
• Photo copies of all academic certificates and mark sheets
• Three copies of recent photographs (passport size).
• At least two years job experience certificate (Only for MBA Executive Program).
• Photo Copy of the National Identification Card (if available).

General Information
1. Application for admission in Spring Fall Year:

2. Name of Program: ................................................................................................................ 3. Batch: ........................................

Please mark () below:
Regular Weekend Evening Diploma Credit Transfer

Personal Information
1. Name of Applicant (As per Secondary and Higher Secondary School records): ...........................................................................
2. ...................(Bangla) ………………………………………………………....................................…………………………… (English – all capital letter)

2. Contact Number: ....................................................... 3. Email: ....................................................................................................

4. Date of Birth: Day............/Month........../Year .................... 5. Place of Birth (District): .......................................................

6. Gender (): Male / Female 7. Marital Status (): Single / Married 8. Blood Group: .......... 9. Nationality:...........................

10. Present Address: House No.:................. Road No.: ...................................... Village/Town: ..…………….....................................

P.O:...................................... Upazila: ............................................. District:............................................ Post Code: ..................

11. Permanent Address (If different from present address): House No.: ................. Name/Road No.:...........................................

Village/Town:.............................. P.O:............................. Upazila: …………….....…. District:....................... Post Code: ..................

12. Father's Name: ......................................... Mobile: .................................................... Occupation:..................................

Organization: ............................................. Address: ................................................................................................................

13. Mother's Name: ....................................... Mobile: .................................................... Occupation:..................................

Organization: ............................................. Address:.................................................................................................................

14. Spouse Name (If Any): .............................. Mobile: ................................................... Occupation:..................................

Organization:............................................. Address:.................................................................................................................

15. Name & Address of Local Guardian (If parents live outside Sylhet): ……………………………………………..………………………….……...........

Address: .................................................................................................................................. Mobile:.........................................

16. Name of the Person who will pay the fees: ...................................................................................................................................

Address:.....................................................……………………………………………………………………………………....................…………..........…..

Mobile:.......................................... Annual Income: ........................... Relationship with the applicant: .....................................

RTM-AKTU
 Academic Information
1. SSC / HSC / O' Level / A' Level / Dakhil / Alim / Diploma / Equivalent:
Examination Name of Institution GPA/ GPA Overall Group Board Passing
Division (without 4th Grade Year
subject)

2. Bachelor / Master's Degree / Kamil / Equivalent:

Examination Name of Institution Result/ Duration Reg. Year Program / University Passing
CGPA Subjects Year

Other Information
1. How did you come to know about RTM-AKTU University? ()
RTM-AKTU RTM-AKTU
Friends Newspaper Social Media Other Sources
Faculty / Staff Student

2. Name & ID Number of your Sibling/Spouse (Studying at RTM-AKTU): .................................................ID No:…..……....................

3. Name & ID Number of your Corporate Partner: ...................................................................................ID No: ..............................
4. Job Experience (If any):
Name of Organization Position / Designation Job Location / Address Form (mm/yy) To (mm/yy)

5. SAT / TOFEL / IELTS / GMAT (if any): Score: ............................................ Date Taken: ..............................
6. Skilled in sports and others (If any): ..............................................................................................................................................
7. Have you been dismissed/suspended/expelled from any institution of learning: Yes / No (if yes, please explain):
........................................................................................................................................................................................................
8. Conditions: Time limit: Student of 4-year undergraduate program at RTM-AKTU must complete the degree within 8 years
and in the case of 2-year program, the degree must be completed within 4 years from the date of admission.
9. Declaration: I do hereby declare that all the information given above is correct. If any information found fake or any
discrepancy arise in future, it will automatically disqualify my admission from the University without showing any reason. I
shall further be liable for any appropriate action for submitting such fake documents, as deemed fit by the University. I
understand that the students who got themselves admitted with fake certificates will be subject to disciplinary actions. They
will not be given degree/diploma certificates and shall not be allowed to attend the Convocation. I will abide by the rules
and regulations of the university including code of conduct and other policies, which will be issued by the university
authority.

___________________________ _________________________________
Signature with date of Applicant Signature with date of Parents/Guardian

Financial Aid (Office use only)

Waiver Description

………………………………………………………………………………………………………………………………………………………………………………………………………..

_________________________________ ____________________________________ _______________

Signature with date of Admission Officer Signature with date of Registrar (Admission) Signature of Dean

RTM-AKTU