IAC Application Form

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Bangladesh-Korea Information Access Center

Application Form for Course at IAC

2 PP Size Photograph

Course Code: Course Title :

1. Name: 2. Fathers Name: 3. Mothers Name: 4. Date of Birth: 5. Present Address:

6. Permanent Address:

7. Mobile : 8. Email Address: 9. Educational Qualification: Degree Institution

Land phone :

Dept./Group

Year

Result

Page 1 of 2

10. Skills: Operating System Database Programming Others I hereby declare that I will abide by the rules and regulations as set by IAC during my stay at IAC, BUET.

Signature of the Applicant and Date

Application Procedure
1. Hard copy of Application Forms and Prospectus can be collected during office hour (SaturdayWednesday, 9am5pm) @ Tk. 20/- from Bangladesh-Korea Information Access Center (IAC), New Academic Building (West Polashi), BUET, Dhaka 1000. Application Forms can also be downloaded from http://www.buet.ac.bd/cse/iac 2. Application Form has to be submitted along with two passport size photographs and a non refundable application processing fee of Tk. 100/- to IAC and a receipt will be provided. 3. Applicants have to bring the receipt during selection test which will be held as per schedule. Selected participants will be notified shortly.

4. Selected participants have to make a Bank Draft / Pay Order in favour of Director, BRTC,
BUET from any bank as per course fee. To finalize the course registration, the bank draft / pay order has to be submitted at IAC.

For Office Use Only


Bank draft or Pay order number: ______________________________________________________ Payment Date: __________________________ Amount Paid: ______________________________ Application Serial Number: 2009_________________ Registration No.: 2009________________

_________________________ Signature of Receiving Officer

______________________ Signature of IAC in Charge

Page 2 of 2

You might also like