No Objection Certificate (NOC)

TO BE FILLED IN BY CANDIDATE IN EMPLOYMENT

Name of Employer ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ..

Address ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ....

STATEMENT FROM THE EMPLOYER/HEAD OF THE OFFICE

Mr./Miss/Mrs. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Designation
... ... ... ... ... ... ... ... ... ... ... ... ... an applicant for admission (Session : 2022-2023) to program in

 PGD  M Sc.  M Sc. in WEM  M in WEM  M Engg.  M Sc. Engg.  M Phil  Ph. D
... ... ... ... ... ... ... ... ... ... ... ... ... in the department/institute of Dhaka University of Engineering
& Technology, Gazipur is employed in my office. I have no objection to his/her enrolment as a
full-time/part-time student of above mentioned program. If selected for admission, he/she
will/will not be on deputation while pursuing the course. He/She will be accorded necessary
leave/recess to facilitate his/her study at DUET.

(Signature of the Employer/Head of the office)

Date: Name
Designation
Contact No.

Official Seal
Application Serial No: ... ... ... ...

Passport Size
Dhaka University of Engineering & Technology, Gazipur Photo
Gazipur-1707 (2 copies)
Application for Eligibility Verification of Obtained Degree
(for Admission to Postgraduate Program; Session: 2022-2023)

To, Payment Information

The Chairman Application ID
Eligibility Verification Committee
Dhaka University of Engineering & Technology, Gazipur Transaction ID
Gazipur-1707, Bangladesh.

1. Choose a Preferred Program and Department/Institute (Use √ mark):

(a) Program applied for:  PGD  M Sc.  M Sc. in WEM  M in WEM

 M Engg.  M Sc. Engg.  M Phil.  Ph. D

(b) Department / Institute:  CE  EEE  ME  CSE  TE  FE  Chemistry
 Mathematics  Physics  IWE  IICT  IEE
(c) Status :  Part-time  Full-time
(This application form must be filled up by computer typing and submitted with necessary documents. The rows may be expanded and additional
information can be attached if necessary. Incomplete application will be rejected)

2. Particulars of the Applicant:

(a) Applicant's Name (In Block Letter) :
(As per S.S.C Certificate)

(b) Father's Name :

(c) Mother's Name :
(d) Date of Birth :
(e) Present Address :

(f) Permanent Address :

(g) Cell Number :

(h) E-mail Id :
(i) Nationality :
(j) National ID Card/Birth Certificate No. :
(k) Passport Number (if any) :
(l) Religion :
(m) Gender :
(n) Marital Status :

3. Particulars of Obtained Degree for which Eligibility is required:

(a) Name of the degree :
(b) Name of the University/Institution :
(c) Country from which the degree obtained :
(d) CGPA/GPA/Class :
(e) Date of graduation :
(f) Duration of the program :
(g) Total credit earned :
(h) Mode of Study (Use √ mark) :  Full-time  Part-Time  Distance learning
(i) Period of Stay at Abroad :
(for foreign degree with Entry & Exit Dates)
(In case of Distance Learning, write
‘Not Applicable’)
(j) University/Institution Status (Use √ mark) :  Public  Private  International
(k) Web-link of the University/Institution :
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4. Degrees Obtained : (Starting from Recent Degrees)

University/Institute/ CGPA/Class/
Degree/Certificate Year of Passing Discipline/Field
Board Division

5. Required Documents (which must be attached herewith):

(a) Attested copies of all academic Certificates and Transcripts (in the case of language other than English translated documents
into English must be attested by the respective diplomatic office/notary public).
(b) Detailed syllabus mentioning all the contents.
(c) Attested copies of two recent passport-sized color photographs.
(d) Attested copy of National ID Card/Birth Certificate.
(e) Attested copy of Passport (Proof of valid Visa for staying abroad to achieve foreign degree).
(f) Document in support of credit and courses waived/transferred (if any).

6. Eligibility Verification Fee Details (Non refundable): Eligibility Verification Fee of Tk. 3,000.00 (Three thousand only)
Payment by online.

7. Declaration:
I declare that the information provided in this form is correct, true and complete to the best of my knowledge and belief.
If any information is found false, incorrect, and incomplete or if any ineligibility is detected before or after the
examination, any legal action can be taken against me by the authority including the cancellation of my application.

Date: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . ... ... ... ... ... ... ... ... ... ... ... ... ... ...
(Signature of the applicant)
Application Serial No: ... ... ... ...

Dhaka University of Engineering & Technology, Gazipur Passport Size

Gazipur-1707 Photo
(2 copies)
Application for admission to Postgraduate Program
Session: 2022-2023

To, Payment Information

The Registrar Application ID
Dhaka University of Engineering & Technology, Gazipur
Gazipur-1707, Bangladesh. Transaction ID

1. Choose a Preferred Program and Department/Institute (Use √ mark):

(a) Program applied for:  PGD  M Sc.  M Sc. in WEM  M in WEM
 M Engg.  M Sc. Engg.  M Phil.  Ph. D
Field Name: ....................................................................................... (For Civil Engineering Department)
(b) Department / Institute:  CE  EEE  ME  CSE  TE  FE  Chemistry
 Mathematics  Physics  IWE  IICT  IEE
(c) Status :  Part-time  Full-time
(This application form must be filled up by computer typing and submitted with necessary documents. The rows may be expanded and additional information
can be attached if necessary. Incomplete application will be rejected)

2. Full Name in English : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
(As per S.S.C Certificate)
Full Name in Bengali : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
3. Father’s Name : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
4. Mother’s Name : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
5. Guardian’s Income (Per Annum) : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... .. ... ...
6. Addresses :
Present Address Permanent Address
Holding No.: ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... .............. Holding No.: ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ..............
Village/Road No.: ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ...... Village/Road No.: ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ......
Post Office: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . ... ... .. Post Office: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . ... ... ..
Upazilla/Thana: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . ... Upazilla/Thana: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . ...
District: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . ... ... ... .. District: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . ... ... ... ..
Phone/Mobile: ... ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... ... Phone/Mobile: ... ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... ...
E-mail: ... ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... . ... ... ... . E-mail: ... ... ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... . ... ... ... .

7. Date of Birth : DD... ... ... ... ... ... ... MM... ... ... ... ... ... ... YYYY... ... ... ... ... ... ... ...
(As per S.S.C Certificate)
8. Nationality : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... NID No.: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ..
9. Religion : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
10. Gender :  Male  Female  Others
11. Marital Status :  Single  Married  Others
12. Degrees Obtained : (Starting from Recent Degrees)

Degree/Certificate University/Institute/Board Year of Passing Discipline/Field CGPA/Class/Division

N.B. Attach attested copies of the Certificate, Mark-sheet, Transcript/Grade Sheet and Testimonial of all academic qualifications.

13. Field of interest in proposed program : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

14. Thesis (if any):

Serial No. Title Name of University/Institute Period

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15. Publication (if any):
Serial No. Title Author’s Publication Details Year of Publication
(Journal/Conference/Patent/
Book Chapter/Book)

16. Practical Job Experience (if any) :

From To
Designation Organization Job Description
(Month/Year) (Month/Year)

17. Name of two referees, at least one of whom has taught you in the Institution last attended:
Referee 1
Name : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
Designation and Affiliation: ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... ... ...
... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
Address : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
Phone/Mobile : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
E-mail : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
Referee 2
Name : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
Designation and Affiliation: ... ... ... ... ... ... ... ... ... ... ... .. ... ... ... ... ...
... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
Address : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
Phone/Mobile : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...
E-mail : ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ...

18. I hereby apply for admission in the program ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... in the ... ... ... ... ... ... ... ... ... ... ... Department/Institute of DUET,
Gazipur as full-time/part-time student. I agree to abide by all the rules and regulations of the University.

19. Declaration:
I declare that the information provided in this form is correct, true and complete to the best of my knowledge and belief. If any information is found false,
incorrect, and incomplete or if any ineligibility is detected before or after the examination, any legal action can be taken against me by the authority
including the cancellation of my candidature.

Date: ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . ... ... ... ... ... ... ... ... ... ... ... ... ... ...
(Signature of the applicant)

Use only for respective Department/Institute

20. List of necessary documents have been verified and found correct as follows (Use √ mark):
Submitted
SL
Particulars Documents
No.
Yes No
(1) Two recent passport size colored photographs
(2) Attested copy of SSC/equivalent Certificate
(3) Attested copy of SSC or equivalent Mark Sheet/Grade Sheet
(4) Attested copy of HSC or equivalent/Diploma in Engineering Certificate
(5) Attested copy of HSC or equivalent/Diploma in Engineering Mark Sheet/Grade Sheet/Transcript
(6) Attested copy of B Sc. Engg./B Sc. Hon's/equivalent Certificate
(7) Attested copy of B Sc. Engg./B Sc. Hon's/equivalent Mark Sheet/Transcript
(8) Attested copy of M Engg./M Sc. Engg./M Sc./M Phil./equivalent Certificate
(9) Attested copy of M Engg./M Sc. Engg./M Sc./M Phil./equivalent Mark Sheet/Transcript
(10) Attested copy of Testimonial from the institute last attended
(11) NOC from employer (if applicable)

Signature of the
Signature of the applicant
Authorized Teacher

Reg. No. Student No. Date of Enrollment

Signature of the
Signature of the Signature of the
Head of the Department/
PG Coordinator Registrar/Authorized Officer
Director of the Institute