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Application No.

Computer Science and Engineering Discipline


Science Engineering and Technology School Photograph
Khulna University, Khulna (1 copy)
Session: 2023-2024
Application Form
(Admission into M.Sc. Engg. (CSE)/ M.Engg. (CSE) Programme)
1. Name
In English (block letters): …………………………………………….....................................
In Bangla : …………………………………………………………………….
Father’s Name : ……………………………………………………………………..
Mother’s Name : ……………………………………………………………………..
Date of Birth : ……………………………………………………………………..
Nationality : ……………………………………………………………………..
2. Address
Present (with telephone no.) : ………………………………………………………...........
……………………………………………………………….
Permanent (with telephone no.): ………………………………………………………...........
……………………………………………………………….
3. Educational Qualification
Name of Exam. Year of passing Board/University Earned GPA/Marks/Class

4. Current Employment (if any):


Institute/Company Name:
Position: Date of Joining:

5. No. of Publications and papers (attach list of papers)


No. of papers in journal: ............................
No. of papers in peer reviewed conference proceedings: .............................
..…………………………
Applicant’s Signature
6. For Office Use Only
Admission Roll No.
Merit Position
Registration No.
Signature:
………........................ ……………………. …………………
Chairman of the Medical officer Registrar
Admission Committee
The following documents must be attached to the application form.
i) Attested photocopy of marks/ grade sheet of all examinations.
ii) Two passport size attested recent photographs.
Computer Science and Engineering Discipline
Science Engineering and Technology School Photograph
Khulna University, Khulna (1 copy)
Session: 2023-2024

Proof Copy of Application Submission

(Admission into M.Sc. Engg. (CSE)/ M.Engg. (CSE) Programme)

To be filled by the Applicant

Name : ……………………………………………………………………………………….
Father’s Name : ……………………………………………………………………………………….
Mother’s Name: ………………………………………………………………………………………
Present Address: ………………………………………………………………………………....……

Signature of the Applicant

For Office Use Only


Application No.
Roll No.

Signature of the Chairman of the Admission Committee/


Authorized Person

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