Annex A
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reilyshawnAnnex A
Uploaded by
reilyshawnAnnex-A
Green University of Bangladesh
Registration Process Form for Dissertation / Internship / Research Monograph /
Project / Capstone Project/ Thesis
1. To be completed by the Student: Date of Submission to Dept.: D D M M Y Y Y Y
Student Name: …………………………………………………………………… ID No.:
Department: …………………………………………………………..…..…. Program: ………….…………………………….….………
Major: ……………………………………………… Semester: …………………….……….… Present CGPA: ……………..…………
E-mail Address: ……………………………………………………….. Cell No. …………………………………………………………….
Tick (√) the appropriate box below:
Dissertation Internship Research Monograph Project Capstone Project Thesis
Declaration: I hereby declare that all information given above are correct.
Student’s Signature with Date
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2. To be Completed by Department Program Coordinator: The detail student information given
above are correct. The minimum credits required for registering Dissertation/ Internship/ Research
Monograph/ Project / Capstone Project / Thesis, Research Monograph is …………..……...…... . S(H)e has
already completed …………… credits and s(h)e is in fall of …………… credits from minimum requirement.
Recommendation: The student can complete registration process following regular rules/special
permission from the chairperson of the department.
Name & Designation of Program Coordinator: Signature & Date
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I agree / don’t agree with the recommendation of Program Coordinator.
Chairperson
Signature & Seal
3. To be completed by the Accounts Section before Defense Presentation/Viva-Voce:
There is no outstanding dues for the student mentioned above till to date.
An amount of Tk. ………………….………….………… is due till today.
Accounts Office Seal Name and Signature of
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Signature & Date Supervisor with Date
4. To be completed by Supervisor
Topic of the Dissertation / Internship / Research Monograph / Thesis / Project / Industrial
Training…………………………………………………………………………………………………………………………..
………………………………………………….………………………………………………………………..…………………...
Name and Address of the organization where S/he has done his/her Dissertation / Internship /
Research Monograph / Thesis / Project / Industrial Training………………………….
…………………………………………...…………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………
Internship/ Dissertation/ Thesis Registration Date: ……………………………………...…………….………
Report Submission Date: …………………………………………………………………....……………………..………
Supervisor Name: …………………..………………………………Designation: …………………………………….
Grade Achieve: Credit: ……………………....….……… Grade: ..………..…..………… GPA: ……………...….…
All information given Approved Not Approved
above are correct.
Supervisor Signature Chairperson/Dean
Date: Signature with Seal
Approved Not Approved
Controller of Examination:
Seal & Signature
Student Copy Department Copy Account Copy Controller of Exam Supervisor
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