Passport
SOUTHEAST UNIVERSITY Size
Photo
(1 copy)
APPLICATION FOR ORIGINAL CERTIFICATE (EMERGENCY)
(For the student’s who could not attend the Convocation)
Name of Student (in block letters) :
(As it appears in SSC/Equivalent Certificate)
Father’s Name :
(As it appears in SSC/Equivalent Certificate)
Student’s ID No.
Program: Batch: Major/ Dissertation:
Present Address:
Land Phone : Mobile: Email:
Provisional Certificate No.: Result Publication date:
Money Receipt No. Date : Tk. 3,500.00 (Taka three thousand five hundred only)
Name of the Bank & Branch :
Documents to be submitted along with the application:
Student must bring the original & photocopies of certificates of SSC, HSC, Bachelor & Master’s Degree
as the case may be at the time of submission of application. The authorized officer of SEU will verify and
attest the copies of certificates for submission along with the application.
Documents to be submitted along with the application:
Signature of Student
Attested copies of Certificates, Mark-sheets (Transcripts) of SSC, HSC & Bachelor/Master’s
Date :…………..
Degree as the case may be.
Original Money Receipt.
A recent passport size colored photograph.
Provisional Certificate in Original (if taken)
For Official Use Only
Total Credit courses appeared: Regular: Retake: Improvement: Re-sit:
Total Non Credit courses appeared: Regular: Retake: Improvement: Re-sit:
Total Credit Waived: Non Credit Courses Waived:
Internship/Dissertation Credit: Semester:
Total Credits Completed: Semester: .
Examination / Asst. Exam. Officer
Date:
Received Library card & no book due Cleared all dues Certificate & Transcript may be issued
______________________ ___________________________ _______________________________
Signature of Librarian, SEU Signature of Accounts Officer, SEU Signature of Controller of Examinations
Date:…………………………. Date: ……………………………. Date:………………………………..
Submission Date:………….. Delivery Date:………….. Received by: …………..
ORIGINAL CERTIFICATE (EMERGENCY)
(Examination Office: House # 95, Road # 4, Block # B, Banani, Dhaka-1213, Telephone: 55034404, 55035045 Ex.- 208, 55035156)
ID No:………….. Delivery Date:………….. Received by: …………..
N.B.: Student ID card must be surrendered at the time of taking delivery of the Certificate & Transcript.
Authorization letter is necessary if you would like to receive the Certificate & Transcript by your representative. In such
case, signature of the representative must be attested by you in the authorization letter.
Contd..P/2
Applicable for the student who has not received the PVC
Semester wise Report
(To be filled from the office of the Controller of Examinations)
Number of Courses/Credits
Name of Regular Retake Improvement Re-sit
Semester Credit Rem edial Credit Remedial Credit Remedial Credit Remedial
Courses Courses Courses Courses Courses Courses Courses Courses
Spring’
Summer’
Fall’
Spring’
Summer’
Fall’
Spring’
Summer’
Fall’
Spring’
Summer’
Fall’
Spring’
Summer’
Fall’
Spring’
Summer’
Fall’
Spring’
Summer’
Fall’
Signature :
Name :
Designation :
Date:
