American International University - Bangladesh

"Where Leaders are Created"

ADMISSION APPLICANT INFORMATION
Ref .No 87323

This is not Admit Card. Please preserve this document. It may be required during online viva.

Admission Information
Admission Exam : Upcoming Semester Slot 1
Applied In : Bachelor of Science in Computer Science & Engineering

Applicant Information
Applicant Name : RAFID AHAMMAD Phone : 01754402672
Email : ahammadrafid@gmail.com Emergency Contact : 01715150662
Present Address : , 49/1, MIRPUR, DHAKA, Bangladesh

Permanent Address : , 49/1, MIRPUR, DHAKA, Bangladesh

Family Information
Father Name : ARIFUL HOQUE Employer / Business Name :
Occupation : PRIVAT SERVICES Nationality : Bangladeshi Phone : 01715150662 Email :
NationalID : 8209240244 Passport No : Issue Date : 2/20/2024 Issue Place :
Mother Name : JINAT JAHAN Employer / Business Name :
Occupation : HOUSEWIFE Nationality : Bangladeshi Phone : 01768030107 Email :
NationalID : 4609225703 Passport No : Issue Date : 2/20/2024 Issue Place :

Academic Information
Degree : SSC Equivalent Group : Science Result : 4.39 Board : DHAKA
Institution : Chetona Model Academy Year : 2021
Degree : HSC Equivalent Group : Science Result : 4.25 Board : DHAKA
Institution : Scholars School & College Year : 2023
Degree : Group : Result : Board :
Institution : Year :
Degree : Group : Result : Board :
Institution : Year :

Language Proficiency
TOEFL Score : Date : SAT Score : Date :
IELTS Score : Date : GRE/GMAT Score : Date :
Others Title : Score : Date :

Work Experiences
Organization Name : Supervisor Name :
Start Date : End Date : Position : Phone :
Address :
Organization Name : Supervisor Name :
Start Date : End Date : Position : Phone :
Address :

Other Information
Family Income : <1,00,000 BDT Financing Source : Parents Contagious / Infectious Diseases : No
Appeared Before : No Reg. Before : No Physical / Mental Disability : No
Parent Freedom Fighter : No Alumni ID : Convicted / Criminal Offences : No
Is Discontinued : No Discontinustion Reason :
Program : Institution :

I hereby accept that if admitted to AIUB, I will be bound by all the Rules and Regulations of the University and the AIUB Code of Conduct. I also
understand that withholding or providing false information requested in this Application Form will make Me ineligible for Admission into AIUB and may
even lead to Termination of Enrollment if admitted. I therefore certify that all the statements provided above are True and Complete to the best of My
knowledge. I further acknowledge and accept that the AIUB Admission Committee reserves the rights to accept or reject my admission on the basis of
my previous academic records and my performance in the Admission Test.

Print Date : 2/20/2024 Printed by : ahammadrafid@gmail.com