Application Form

Email the scanned copies of this form and the required academic
documents to:
Please fill in all sections
using CAPITAL LETTERS. Phone: +82 33.639.0131
Fax: +82.33.639.0148
Supply all the documents required Email: [email protected] Photo
together with attested / notarized
academic documents, and proof of Web.: http://global.kduniv.ac.kr/int
language proficiency, if applicable. Kyungdong University, Korea

1. Personal Details

□ Mr □ Miss □ Mrs Marital Status □ Single □ Married □ Divorced

Family Name ISLAM Date of Birth (dd-mm-yyyy) 01-11-2000

Given Name(s) MOFIZUL Passport Number B00654447

Do you hold a current Korean visa? □ Yes □ No Country of Birth BANGLADESH

If yes, specify your visa type Citizenship BANGLADESHI

Email [email protected]

SNS ID □ Skype □ Viber □ Facebook □ WhatsApp □ etc

2. Permanent Address (e.g., parents’ contact information for emergency)

Full address GUTULIA, RUPGANJ, PACHRUKHI-1460, NARAYANGANJ

ZIP CODE 1460

Telephone Mobile phone 01859146600

3. Contact Address

Full address GUTULIA, RUPGANJ, PACHRUKHI-1460, NARAYANGANJ

ZIP CODE 1460

Telephone Mobile phone 01859146600

4. Language Proficiency

English is my first language □ Yes □ No

I have undertaken my previous studies where the language of instruction was English □ Yes □ No

If yes, please provide the details

I have taken the English or Korean Language Test (e.g., IELTS, TOEFL, CEFR, TOPIK, etc.)
□ Yes □ No
within the past two years

Test Name

Test Date Test Score

5. The Medium of Instruction I intend to use for my study in Korea □ Korean □ English
6. The Course(s) I Apply For (provide the courses of your choice)

Course 1: Language Course □ English for Academic Purposes (EAP)

□ Korean for Academic Purposes (KAP)

□ Bachelor □ Master □ PhD

Course 2: Degree Course
Department SMART COMPUTING

7. Previous Studies (Please provide the certified copies of all academic documents as required)

Name of High School PANCHRUKHI BEGUM ANOWARA COLLEGE

Country BANGLADESH Result GPA - 4.00

Full Address ZIP CODE

Entrance Date Date of Completion

01-06-2016 19-07-2018
(dd-mm-yyyy) (dd-mm-yyyy)

Website Telephone

Name of Qualifications (Diploma or Degree)

Name of School PANCHRUKHI HAZI SHAHEB ALI FAKIR HIGH SCHOOL

Country BANGLADESH Result GPA - 4.44

Full Address ZIP CODE

Entrance Date Date of Completion

01-01-2014 11-05-2016
(dd-mm-yyyy) (dd-mm-yyyy)

Website Telephone

8. Financial Sponsor

Name of Sponsor SHAFIQUL ISLAM

Relationship □ Father □ Mother □ Brother □ Sister □ Myself □ Other (please, specify)

Occupation BUSINESS

Telephone 01518627877

9. Application Checklist – Have you attached: 10. Declaration

I declare that the above information is true and accurate and

agree that any false statements can lead to the termination of
□ Certified documentary evidence of all academic studies
my admission or enrollment with the university.
undertaken?
□ Certified documentary evidence of language proficiency? Applicant’s signature MOFIZUL ISLAM
□ Bank balance and bank statement?
Date 02-07-2024
□ A copy of your passport?
□ Letters from two Guarantors? (if any) Agent’s signature (if applicable)

□ Certificate of family relationship? Date 02-07-2024

□ Student Code of Conduct signed?
Agent’s stamp (if applicable)
□ Medical check-up report?
□ Affidavit of Support Form signed?
 Student Code of Conduct periods of study.
Kyungdong University Global, Korea 4.2. No fees, in any form or nature, will be reimbursed if any student fails to obtain a visa or gets expelled due to the submission of
falsified or unverifiable documents.
1. Campus Life and Ethics 4.3. No fees, in any form or nature, will be reimbursed once a student is granted a travel visa to Korea.
1.1. Students must always abide by all Korean laws and adhere to local norms and values. 4.4. Students in the language training programs (English for Academic Purposes/Korean for Academic Purposes) are required to advance
1.2. Students must always be courteous and respectful of all staff, faculty, and other students while attending Kyungdong University to the undergraduate programs at KDU Global as soon as they obtain the required levels of English/Korean proficiencies: TOEFL 530
Global (KDU Global). (CBT 197, iBT 71) / IELTS 5.5 /CEFR B2 / TEPS 601 (NEW TEPS 327) / TOPIK Level 3.
1.3. Students must uphold respect, integrity, and holistic values towards all direct and indirect stakeholders of KDU Global, including 4.5. Students in the language training programs (English for Academic Purposes/Korean for Academic Purposes) must take the official
local communities and residents, while staying in Korea. IELTS/TOEFL/CEFR/TEPS/TOPIK examinations in the end of each term of their study.
1.4. Students must abide by all designated campus rules and regulations. 4.6. No student can transfer to another university during the period of study stated in the offer letter and the fee paid will not be
1.5. Students must listen to and follow the directions of both academic and non-academic staff. reimbursed under any circumstance.
1.6. Students must adhere to and mutually enforce the guidelines on campus cleanness, tidiness, and safety. 4.7. If a student wants to transfer to another university during the period of degree course study, the scholarships awarded to-date must
1.7. Any physical or verbal act of violence or harassment by a student inflicting any form or degree of physical or psychological harm to be refunded and an acceptance letter issued by the receiving university must be submitted for approval. KDU reserves the right not
anyone results in her/his/their immediate expulsion from KDU Global and/or entailing punishment in accordance with Korean laws. to approve the transfer. If the transfer is approved, under no circumstance will the original documents submitted by the student be
1.8. Students are obliged to respect cultural diversity and values practiced or upheld by other students. returned to the student and no fees paid, in any form or nature, shall be refunded.
1.9. Fraudulent and unattended use of property/personal belongings of university, other students or staff by any student is strictly 4.8. Students in undergraduate programs must maintain at least 80% attendance rate in all courses to qualify for KDU Global scholarships.
forbidden. 4.9. Students in language training programs must maintain at least 90% of attendance to quality for any scholarships or alternative forms
1.10. Any form or degree of vandalism of university property, equipment, or facilities are strictly prohibited. of support, if any.
1.11. Accessing, retrieving, keeping, viewing, promoting, or distributing any form of electronic or online resources/files/SNS pages, 4.10. All forms, scopes, and eligibility requirements of KDU Global scholarships as well as fees or their structures are subject to internal
platforms, channels containing pornographic, violent, racist, or any other forms of offensive, destructive, illicit contents is strictly revisions and changes at any point of time.
forbidden. 5. Part-time Work and Health Insurance
2. Classroom Conduct and Course Operations 5.1. KDU Global is not in any way responsible for providing part-time jobs to students enrolled in any programs of study.
2.1. Students must attend the scheduled classes on time, i.e., leaving or missing any class without valid mitigating circumstances approved 5.2. KDU Global provides part-time job assistance and guidance to students at its full discretion given that students meet all the
by the faculty is prohibited. requirements and conditions enunciated by Korean laws, immigration regulations, and KDU Global policies pertinent.
2.2. Students must refrain from disrupting class operations, teaching and learning processes in any way. 5.3. It is strictly prohibited for students to engage in any income earning activities without proper permission from KDU Global and the
2.3. Use of electronic devices, including cell phones, except for class purposes, is strictly prohibited. local immigration office.
2.4. Students must attend to/complete the assignments, examinations, and course-works on time by adhering to the standards of 5.4. It is strictly prohibited for students to engage in the types/forms of part-time jobs restricted by immigration regulations.
academic ethics and integrity. 5.5. Students are restricted from engaging in working hours exceeding the limits or interfering with the classes, events, activities
2.5. Any action or attempt of cheating during examinations and plagiarizing reports, assignments, and course-works is considered scheduled, planned, or announced at any time by KDU Global or affiliated departments/divisions and faculty/staff members.
committing academic dishonesty. If and when a student is convicted of academic dishonesty, she/he/they will be subjected to 5.6. Students and their parents/sponsors/guardians must be aware that the part-time job opportunities might be limited and that the
adjudication and corresponding sanctions defined by policies of KDU Global. income from part-time employment can never be the means of financial support for students’ living and studying expenses entirely.
2.6. No food or drinks are allowed in the classrooms or computer laboratories. 5.7. Students in the language training programs are not allowed to engage in any part-time employment within the first six months of
2.7. Students are responsible for keeping the classrooms clean and tidy and to adhere to the safety and emergency measures in place. their stay at KDU Global.
2.8. Students are obliged to complete the curriculums of study designated by KDU Global. 5.8. Students in the undergraduate and language training programs must maintain at least 80% and 90% of attendance rates, respectively,
2.9. Course offerings and contents are subject to internal revisions and changes at any time. to work part-time or qualify for part-time job assistance/guidance by KDU Global.
2.10. Students who fail to demonstrate a satisfactory level of academic performance shall be subjected to sanctions/probation, and 5.9. Students must sign up for National Health Insurance (NHI) and pay for the premiums on a timely basis in accordance with pertinent
expulsion in the absence of improvements. regulations in Korea.
2.11. Students are obliged to attend/complete academic and non-academic counselling sessions when assigned or recommended at any 5.10. It is the absolute responsibility of students and/or their parents/guardians to pay for all medical expenses not covered, partially or
time. entirely, by the NHI in Korea.
2.12. Students must fulfill all course completion and graduation requirements without deliberate delays. 5.11. It is the binding responsibility of students and/or their parents/guardians/sponsors to abide by all terms and conditions indicated in
3. On-campus Residence / Dormitory this Student Code of Conduct as well as in all other KDU Global policies, standards, requirements, regulations, and by-laws, which
3.1. Students must stay in the KDU dormitory for at least one year after arriving in Korea. The dormitory fee must be paid before the final may be subject to internal revisions or changes at any time, with or without notice, and all Korean laws and regulations.
admission letter is issued and it is not refundable under any circumstance.
3.2. Any student may be expelled from the dormitory due to misbehavior or misconduct. I have read and fully understood the KDU Global Student Code of Conduct. I hereby agree to all the provisions included therein and pledge
to abide by all the rules and regulations. I understand that breaching the codes will result in necessary disciplinary or legal actions by KDU
3.3. Dormitory fees will not be reimbursed in case of expulsion from the residence.
Global, including cancellation of enrolment.
3.4. Students must treat their fellow residents, staff, and administrators with respect and courtesy, refrain from behavior that
discriminates or harasses others based on race, gender, religion, nationality, or any other characteristics. □ Full Name:
MOFIZUL ISLAM
3.5. Students must abide by the rules and norms regulating the use of communal spaces, including lounges, kitchens, and laundry facilities.
3.6. It is the absolute responsibility of students to keep the dormitory rooms, shared bathrooms, lounges, and all other facilities in the □ Date of Birth: 01-11-2000
dormitories clean and tidy.
3.7. Students must maintain the designated ‘quiet hours’ as posted in common areas and dormitory halls.
□ Passport No: B00654447
3.8. All dormitory residents are required to subscribe to the monthly (periodic) cafeteria meal subscription plans. □ Signature:
3.9. Dormitory fees as well as the costs, contents, and schedules of meal subscription plans may change at any time.
4. Admissions, Scholarships, and Fees □ Date: 02-07-2024
4.1. It is the absolute responsibility of the students and their sponsors/guardians to have adequate financial resources to meet the visa
(Revised on November 9, 2023)
application, extension, and change requirements by the Korean Government and KDU Global both prior to and during their entire