HAJEEMOHAMMADDANESHSCIENCE&TECHNOLOGY UNIVERSITY (HSTU), DINAJPUR

FACULTY OF BUSINESS STUDIES APPLICATION FORM FOR THE MBA (EVENING) PROGRAM Program Details: Roll No:
Photograph (Passport size) For Office Use Only

MBA(Evening) May- 2014

Personal Details: Name: Mothers Name: Fathers Name: Present Adress: House No: Village: Post Office: Police Station: District: Permanent Adress: (if differ from above) House No: Village: Post Office: Police Station District: Academic and professional Qualifications:
Mareksheets (Transcripts) and Other relevent documents)

Date of Birth (dd/mm/yy): Male Female Nationality: Phone No: Mobile No: Fax No: E-mail:

Phone No: Mobile No: Fax No: E-mail:

(Enclose photocopies of all academic Certificates,

Certificate/ Degree

Group/Discipline

Year of Passing

Institute/ Board

Division/ CGPA

Points Obtained
(Filled by office)

Employment or Professional Records: (only for service holder)

From Employment Status
Particulars of Bank Draft :

Name of Institution(s)

Position held

Declaration:
I declare that, the information given in form is true, correct and complete. Signature Date.

After completing the form, please put your signature with date and return it to the Dean, Faculty of Business Studies, Hajee Mohammad Danesh Science & Technology University, Dinajpur-5200.

HAJEE MOHAMMAD DANESH SCIENCE & TECHNOLOGY UNIVERSITY, (HSTU), DINAJPUR

Faculty of Business Studies MBA (Evening)May- 2014 Admit Card

Roll No:

Name: Mothers Name: Fathers Name:

Photograph (Passport size)

... Applicants Signature

. Member Secretarys Signature