APPLICATION FORM FOR SCHOLARSHIP THROUGH ICCR

TO BE FILLED BY APPLICANT

Application Made Through : Bangladesh Assistant High Commission of India Rajshahi

1. Full name (IN BLOCK LETTERS) : Mr MD SABBIR HOSSEN SHIKDER

2. Gender : Male

3. Date of Birth : 28/12/2001

4. Place of Birth : Rajshahi, Bangladesh

5. Country : Bangladesh

6. Passport No : A13450024
7. Issue of Passport (City,
Country) : rajshahi, Bangladesh

8. Passport Issue Date : 14/12/2023

9. Passport Expiry Date : 13/12/2028

10. Postal Address : md sohag hossen, C/O: Kazim molla, p.h.-247, shalghoriya, durgapur, rajshahi

a) City b) State c) Country d) Zipcode

Rajshahi Rajshahi Bangladesh 6240

11. Mobile Number : 1981566883

12. WhatsApp Number :

13. Email Id : sabbsohag@gmail.com

14. Unique Identifcation No. : 6011015028

15. Details of Father/Mother
 Name Relation Phone Number Email ID

md lokman hossen shikder Father +8801608521180 rjim43689@gmail.com

mst sabina yesmin Mother +8801861526984 accptmlli@gmail.com

: MD SOHAG HOSSEN, C/O: KAZIM MOLLA, P.H.-247, SHALGHORIYA, DURGAPUR,

Address
RA JSHAHI
City State Country Zincode

RA JSHAHI rA JSHAHI Bangladesh 6240

16. English Proficiency - I : Yes

Till What Level: 1 Score/Percentage (%): 90

17. English Proficiency - II : Yes

TOEFL Score: NA

IELTS Score: B2

Duolingo Score: NA

18. Essay:

Yes, like other student I also do have some exceptional interest and experience that I want to share. I am a certified
Blockchain Professional by IIT KANPUR. I have a great interest in Banking sector, as we are seeing our fast growing world
almost like everyday appear new invention. We can easily predict that in near future there will be no sign of traditional
banking system. All our bank will depend only on web 3.0 . As this is now most secure environment for transection. Overall
we will make a great transection in Fintech in near future. By this transection we will also face great challenges because of
security in this area, criminal will become more innovative to disturb the system. For this type of circumstances I am
preparing myself for fully integrated into web 3.0 . Although I think I did not encounter with any kind of obstacles. But I
think I have experienced a great achievement during my university admission period. I have cracked into University of the
Rajshahi it is a second ranked university in our country. By this admission cracking I have now believe in myself if I put my
full effort to anything I can achieve anything . This admission period was a great lesson for me which make my
fundamental to later success. During my Secondary School Certificate Examination I got infected by Pneumonia due to
showering in a pond just for fun. Although I had completed my syllabus but my physical condition was too much bad to sit
in a serious examination like secondary school certificate. My parents wanted to skip 1 year as it is a very important
examination but I had my believe in myself and I attend the examination and I have earn a GPA 5.00/5.00 also got the
government scholarship for meritorious result. That`s the one time when I challenged a belief and accomplished it.

19. Academic Year : 2024-25

20. Level of Course: : UG

21. Course Main Stream : Commerce Management and Business Administration

22. Univesities/Institutes in India where you wish to seek admission:

Course Sub Stream University Subject

Management and Business Administration Delhi University Finance
Commerce Goa University Business Administration
Commerce Jamia Milia Islamia Business Administration
Commerce University of Hyderabad Economics and Social Sciences
Commerce Rabindra Bharati University Economics and Social Sciences
 Note: Once admission is confirmed, no change in either course or University/Institute will be permitted by the Council.
Allotment of colleges is done by the respective Universities.

23. Previous Educational Qualifications

Board Name of Subjects

Certificate/Degree Country Name School/University/Board Covered Year Percentage(%)/Grade

Grade X Bangladesh RAjshahi jamira High school science 2018 90

(equivalent to Board
Grade X in India)

Grade XII Bangladesh Rajshahi rajshahi college business 2020 90

(equivalent to board studies
Grade XII in India)

24. Give below the names of two persons who have agreed to testify from their personal knowledge to your
character (they must not be related to you and should have direct knowledge of your academic pursuits).
Reference 1

Name Occupation Email Telephone Postal Address

Md ashikul Associate mdashikul@ru.ac.bd 8801719362525 DEPARTMENT OF Finance, UNIVERSITY OF

Islam Professor RA JSHAHI, POST CODE: 6205

Reference 2

Name Occupation Email Telephone Postal Address

MOHAMMAD PROFESSOR falambt@ru.ac.bd 8801711576972 DEPARTMENT OF BOTANY, UNIVERSITY

FIROZ ALAM OF RA JSHAHI, POST CODE: 6205

25. Details of close relative(s) or friends, if any, in India.

Name Relationship Occupation Telephone Email Postal Address

26. Have you travelled or lived in India in the past? No

27. Have you ever availed of ICCR Scholarship earlier? No
28. Are you currently a resident in India? No

29. Are you married to an indian national ? No

30. Do you have an International driving licence? No
31. Any Other Information: Regrettably, there was an error in my initial application where I mistakenly inputted my last
name incorrectly. I'm unable to edit it at this time. I kindly asking for understanding and assistance in rectifying this
MISTAKE.
Date: 17-04-2024
Place: Rajshahi
I hereby declare that the particulars given above are true to the best of my knowledge and belief and that I have understood the
financial terms and conditions of the Schholarship Scheme. I hereby undertake to abide by them, and I also undertake to return
to my country after completion of my studies in India.

Signature

All Documents

Uploaded
S.No. Document Name Document Uploaded Time

1 Permanent Unique ID *  Click to view 17-04-24

Document 02:55:17 pm

2 Passport Copy (Front & Back Pages giving details of personal Click to View 17-04-24
particulars and residence address) (Document size must be less than 2 Document 02:55:17 pm
MB)*

3 Marks/Grade Card of Grade X and Transcript (equivalent to Grade  Click to view 17-04-24
X in India) (Document size must be less than 2 MB)* Document 02:58:41 pm

4 Marks/Grade Card of Grade XII and Transcript (equivalent to  Click to view 17-04-24
Grade XII in India) (Document size must be less than 2 MB)* Document 02:58:41 pm

5 Medical fitness certificate (Document size must be less than 2 MB)*  Click to view 17-04-24
Document 03:22:26 pm

6 English Translation of all documents which are not originally in  Click to view 17-04-24
English (Document size must be less than 3 MB) Document 03:25:29 pm

7 Any Other Document (Document size must be less than 3 MB)  Click to view 17-04-24
Document 03:15:23 pm

I hereby declare that the particulars given above are true to the best of my knowledge and belief and I have
understood the Terms and Conditions of the Schholarship Scheme and hereby undertake to abide by them. I also
undertake to return to my country after completion of my studies in India.Any false information given in the
application will be liable to cancellation of admission.