IBA Executive MBA Program
INSTITUTE OF BUSINESS ADMINISTRATION UNIVERSITY OF DHAKAPhoto
Application for AdmissionApplication for Admission
(Fall 2010 Session)(Fall 2010 Session)Instructions
This application form comprises 3 (three) separate pages.
After filling in the form, put your signature on the 4 (four) designated places.
Include 2 (two) recent, color, Passport Size photos with the application.
Do not write anything in the shaded areas designated “For Office Use Only”.
Make a Pay Order / Bank Draft for Tk.1500, payable to “Executive MBA, IBA”.
Submit the filled-in form & the Pay Order /Bank Draft to the Executive MBA Program Office by Wednesday, August 18, 2010
After submitting this form, collect your Admit Card from EMBA Program office at IBA on the assigned delivery date
Fill applicant name in BLOCK letters. If currently unemployed, provide only one contact address.
Date of Birth: / /
dd mm yyyy
Gender: Male FemaleCurrently Employed? Yes NoAddress 1:
Page 1 of 4
Signature of Applicant
InitialsReceipt No. Admit No.