MSS Application Form

MSS in Development Studies
Application Form
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OFFICE USE
Application SL No .
Student ID No
Date Received
Received By
PLEASE MAIL TO:

Registrar's Office
House 81 ka, Road 11, Suhrawardy Ave,
Baridhara, Dhaka -1212
Tel: 9862386-90,9881917, 9881681, 9884498
Ext: 254, 265
Fax: 880 -2-8823959, 8850226
E-mail: [email protected]
Independent University, Bangladesh

Application Form for Admission
(Please print legibly in dark ink)
1 Academic Plan
Level applying for Undergraduate
Graduate [ Programme: Master of _______________________________________ ]
Status applying for Regular Non Degree Do you plan to transfer credits in? No Yes (Please submit Credit Transfer Application form).
Term to begin Autumn Spring Summer 1 Summer 2 Special semester (Check any one.) Year______________
2 Personal Information
Family Name / Surname First / Other Name(s)
Mailing address
Postal code Country
Telephone Fax
E-mail
Sex Male Female Date of Birth ( Day / Month / Year ) Marital status Single Married
Citizenship Native Language
Blood group Do you have any allergies? Yes No If Yes, Please specify
Father’s Name Occupation
Mother’s Name Occupation
Spouse’s Name ( If Married ) Occupation
3 Academic History
Have you ever been enrolled at IUB before? Yes No. Student ID No. (If Yes)
If YES please explain fully.
Have you ever been separated from any employment under condition other than honourable ? Yes No .
(use a separate sheet)
Have you ever been suspended or required to withdraw from any school or college ? Yes No .
Please provide names of all institutions attended the most recent being on top
Name of the Class Name of the Institution Medium Year (From – To) Division / Grade / CGPA
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TEST RESULTS
The admissions committee will consider your GMAT score when evaluating your application. If your have GMAT score of 500,
you will be exempted from the admission test. Applicant should submit attested GMAT score.
GRE SCORE: __________ _________
MONTH YEAR
_______ % _________% __________% _________%

VERBAL QUANTITATIVE TOTAL ANALYTICAL WRITING
Independent University, Bangladesh Page No. 2

4 Career History
Date employed Company Position held Salary
5 Personal Essay (Your answers should be typed and double-spaced)

This essay section of the application helps the admissions committee get to know you better as an individual. We want to admit a
diverse and interesting group of students who will contribute to and benefit from the IUB-MBA Program. We are interested in the
experiences and qualifications that distinguish you from other applicants.
Please be concise, but respond as completely as you feel necessary to each question.
1. Evaluate yourself as a leader. Where have you demonstrated excellence? (200 words)
2. What do you consider to be your most important personal and professional accomplishments? Please limit to three. (400 words)
3. Why are you applying for IUB-MBA Program; what do you hope to experience and contribute; and what are your plans and goals
after you receive your MBA? (600 words)
6 Local Guardian’s Information (to be contacted in case of emergency)

Name
Relationship with the student Father Mother Others If others, specify the relationship
Contact address
E-mail Telephone
7 Financial Guarantor’s Information (All correspondence including academic transcripts will be

mailed at the address mentioned here)
PLEASE NOTE: The financial guarantor must have a source of income and should be able to provide proof if requested.
Name
Relationship with the student Father Mother Others If others, specify the relationship
Occupation
Mailing address (permanent)
Postal Code Country

Telephone Fax
E-mail address
I declare that the particulars provided in this application are accurate. I also declare that I will abide by the rules and regulations framed by the University
authorities.
Signature of Financial Guarantor Date

8 Student Agreement
If admitted I agree:
9 Not to seek an unfair advantage over other students, including but not limited to giving or receiving unauthorized aid during completion of academic
requirements.
9 Shall not adopt or encourage to adopt any unfair means in prosecution of any part of academic requirements.
9 To truthfully represent fact and self at all times.
9 To respect the property and personal rights of all members of the IUB community.
I certify that all statements here and in the application for admission to the IUB are correct. I agree that all documents submitted in support of the application
becomes the property of Independent University, Bangladesh (IUB). I authorize the University to release information from my application and supporting
documents to authorities and organizations providing financial assistance/fellowship to permit me being considered for such support.
Signature of Applicant Date
? Check-list (Please read all information carefully)
¾ Please read the entire form before answering the questions.
¾ Check, if you have ATTACHED the following information with the

application form. Applicant has to show all the original copies at the time
of submission of the Application Form for Admission.
• Two sets of copies of your mark-sheet(s)/academic transcript(s),

certificate(s), and testimonial(s) attested by the respective institutions or
issuing authorities. Two sets of attested copies of your GRE score (if
applicable).
• Three copies of attested passport size photographs.
• One copy of statement of personal essay.
• One copy of Recommendation Letter, which should come directly from

the present employer or from a faculty member of the last institution
attended.
• If you wish to transfer credits, ask for an additional Application for

Credit Transfer Form. Submit this along with original Official copies
of academic transcript(s) and detailed syllabi of courses.
• Financial undertaking (Item #7), which is to be filled in by the person

guaranteeing to meet the applicant’s educational expenses at IUB.

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MSS in Development Studies

PLEASE MAIL TO:

Independent University, Bangladesh

Postal code Country

Citizenship Native Language

Father’s Name Occupation

Mother’s Name Occupation

Spouse’s Name ( If Married ) Occupation

_______ % _________% __________% _________%

Independent University, Bangladesh Page No. 2

5 Personal Essay (Your answers should be typed and double-spaced)

6 Local Guardian’s Information (to be contacted in case of emergency)

7 Financial Guarantor’s Information (All correspondence including academic transcripts will be

Postal Code Country

Signature of Financial Guarantor Date

Independent University, Bangladesh Page No. 3

? Check-list (Please read all information carefully)

¾ Please read the entire form before answering the questions.

¾ Check, if you have ATTACHED the following information with the

• Two sets of copies of your mark-sheet(s)/academic transcript(s),

• One copy of Recommendation Letter, which should come directly from

• If you wish to transfer credits, ask for an additional Application for

• Financial undertaking (Item #7), which is to be filled in by the person

Independent University, Bangladesh Page No. 4

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