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Dhaka International University: Application Form

This document is an application form for a course completion certificate from Dhaka International University. It contains information about the student such as their name, department, program, registration details, results, and a signature. The form also states that a photocopy of last semester documents must be enclosed and a 500 taka fee is required to process the application.

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Yalla Yaa Soomaal
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584 views1 page

Dhaka International University: Application Form

This document is an application form for a course completion certificate from Dhaka International University. It contains information about the student such as their name, department, program, registration details, results, and a signature. The form also states that a photocopy of last semester documents must be enclosed and a 500 taka fee is required to process the application.

Uploaded by

Yalla Yaa Soomaal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Dhaka International University

Administrative Building
House No.04, Road No. 01, Block - F, Banani,Dhaka-1213
Phone : 55040891-7, Fax: +88-02-55040898

Tk. 500 only


(For any one certificate)

Application Form

For Course Completion Certificate

1. Name of Student : IMRAN NUR HIREY


2. Father's Name : NUR HIREY
3. Mother's Name : LEYLA ABDI MOHAMED
4. Department : Computer Science & Engineering
5. Program : B.SC. IN CSE (1ST SHIFT) Roll No : 17
6. Registration No : CS-D-51-18-108755 Session : 2018-2019
7. Batch No : 51 Mobile : 01730978088
8. Result:CGPA / Class : Incomplete Completed Semester : 10
9. Photocopy of last Semester Final Examinations Admit Card / Transcript /
Marks Certificate / Provisional Certificate issued by this University to be
enclosed along with this application positively.

.............................. Signature of the Student


Authorized Officer Date: 16-09-2021

Receipt No ............................... Date: .............................


Received TK. 500.00 (Five Hundred) only.
Registrar

Accounts Officer

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