B
angladesh University of Business and Technology (BUBT)
APPLICATION FORM
SCHOLARSHIP/STIPEND/ WAIVER
Instructions
In case of Freedom Fighter, Spouse, Siblings, applicants must attach/submit relevant documents with the application.
1. Particulars of the Student:
Name: ………………………………………………………. Name of Dept.:……..…….…………
Intake No.:…………Section:………..ID No.:……………………… Session:…………………….
Cell No.:………………………………………………..E-mail:…………………………………….
2. Past Academic Results:
Name of Exam
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GPA/CGPA
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Passing Year
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Name of Institution
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Board
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SSC/Equivalent (Sc./Com/Hum)
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HSC/Equivalent(Sc./Com/Hum)
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3. BUBT Result (last two semester)
Department
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Semester
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Intake
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Session
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ID No.
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GPA/CGPA
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4. Particulars of Parents:
Parent
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Profession
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Organization (if any)
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Monthly Income
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Cell no.
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Present Address
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Permanent address
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Father’s Name:
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Mother’ Name:
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5. Particulars of Siblings studying at BUBT (if any):
Name
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Department
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Intake
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Section
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ID No.
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Relationship
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6. Particulars of Spouse studying at BUBT (if any):
Name
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Department
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Intake
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Section
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ID No.
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Relationship
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7. Particulars of Freedom Fighter (if any):
Name & Address
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Freedom Fighter No.
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Relationship
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8. Scholarship/Stipend/Waiver previously received from BUBT (if any):
9. Reasons for asking Scholarship/Stipend/Waiver:
Signature of the Student Date:
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