Scribd
Upload
71 views1 page

W-MPH Admission Test Spring 2024: Application Form

The document is an application form for admission to the W-MPH program at Jahangirnagar University's Department of Public Health and Informatics for the spring 2024 semester. It requests personal details, academic details, and professional experience from applicants. It notes that the application form costs 1500 BDT and must be submitted in person along with documents by January 16, 2024 to be considered for the admission test taking place on January 19, 2024.

Uploaded by

Sykat Zaman
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
71 views1 page

W-MPH Admission Test Spring 2024: Application Form

The document is an application form for admission to the W-MPH program at Jahangirnagar University's Department of Public Health and Informatics for the spring 2024 semester. It requests personal details, academic details, and professional experience from applicants. It notes that the application form costs 1500 BDT and must be submitted in person along with documents by January 16, 2024 to be considered for the admission test taking place on January 19, 2024.

Uploaded by

Sykat Zaman
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
You are on page 1/ 1

W-MPH ADMISSION TEST SPRING 2024

Please paste your photo here


Department of Public Health and Informatics
Jahangirnagar University, Savar, Dhaka-1342, Bangladesh
Telephone: PABX: 880-2-7791045-51 Ext. 1428, Cell: +88-01711-507958
https://juniv.edu/department/puhi Email: [email protected]

APPLICATION FORM
Applicant's Name:
(In Block Letter)

Admission Test Roll: (Fill up from the office)


Personal Details:

Father’s Name:
Mother’s Name:
Date of Birth:
Nationality: Blood Group:
National ID No.
Permanent Address:

Mailing Address:

Contact Number: Email:

Academic Details:

Name of the Degree/Exam Group/Subject Board/University GPA/Class Year of Passing

Professional Experience:

Present Status and name of the


organization:
Previous Experience(s):
N.B: 1) Application form is available on the university website (https://juniv.edu/department/puhi) and in the department. Applicant can
download it or can collect it from the department. 2) Submission of the form is mandatory in the department. 3) The application form costs
BDT 1500.00, payable in cash during submission of application. 4) Application deadline: January 16, 2024; no submissions accepted after
the deadline. 5) All academic and professional certificates must accompany the application form. 6) Attach two passport-size photos in the
designated spaces on the application form.

….……….………..…………….

Signature of the Student

Please paste your photo here


W-MPH ADMISSION TEST SPRING 2024
Department of Public Health and Informatics
Jahangirnagar University, Savar, Dhaka-1342, Bangladesh
Telephone: PABX: 880-2-7791045-51 Ext. 1428, Cell: +88-01711-507958
Please paste your Photo here
https://juniv.edu/department/puhi Email: [email protected]

(Fill up from the office)

ADMIT CARD
Applicant's Name:
(In Block Letter)
Admission Test Roll:

………………….......… .........….……….………...........
Signature of the Student Signature of the Coordinator

Admission Test Date and Time: January 19, 2024 (Friday) at 10:30 am

You might also like