BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY

DIRECTORATE OF STUDENTS WELFARE

Application Form for Admission into Residential Hall (Post-graduate Student)
Name :
Fathers Name :
Department :
Student Status :

Roll No :
Full time/ Part time (Strike off as necessary)

Students Address
Permanent/Home Address

Tel :

-
Area code

Last Degree Obtained :

Present Address

Tel :

-
Area code
[ Student No:

Name of the institution :

Name of the Hall (in which the applicant was admitted as an undergraduate student):
Residential Status : Resident/Attached (Strike off necessary)
I would like to be considered for admission into a residential Hall as a Resident/Attached (Strike off as
necessary) Student. I agree to abide by the rules of Hall and of the University.

Signature of the Student

Clearance from the Hall Provost (in which the applicant was admitted as an undergraduate student) :

Signature of the Provost

For Office Use Only
Hall allotted :

Status :

Signature of the DSW