Form A Admission Call ‘To the Magnifico Rettore of the University of Trento 1, the undersigned, apply to be included in the selection for the International Doctorate School in INFORMATION AND COMMUNICATION TECHNOLOGY - 22nd cycle Research areas of interest: “Pattern Recognition and Remote Sensing, “Multimedia Communications and Networking ‘Wireless and Satellite Communication “Industrial Diagnostics and Monitoring For this purpose I, the undersigned, declare: Surname: {Khan First Name: | Muhammad Rezaul Hoque Fiscal Code: Date of birth: |0ct25, 1981 Place of birth: City Gazipur Province: _|Gazipur Country: _|Bangladesh PLACE OF RESIDENCE Stre House No: E-13/4, |No.|E-134 Zip code: 1703 BOL. Gazipur 1703 City: Gazipur Province: Country Bangladesh [Telephone No.: |+88017301851 | Fax: 9 E-mail: _|sohasiut@yahoo.com ADDRESS FOR CORRESPONDENCE Stre House No: £-13/4, |No.|E-134 code: 1703 BOF. Gazipur 1703 City: Gazipur Province: Country: Bangladesh [Telephone No.: |+88017301851 |Fax: ° +THAVE NID For Italian students [| [HAVE AN ITALIAN DEGREE WITH MARK, conferred on (date) IN (subject) FROM (University) COUNTRY [| [HAVE NOT YET GRADUATED, | am aware that my admission to the Doctorate School depends con the presentation of my degree certificate before the 31.10.2006STUDYING (subject): |AT (University): COUNTRY: For Foreign students degree I | THAVE A FOREIGN QUALIFICATION which had been recognised as equivalent to the Italian Italian Rector's Decree recognising equivalence |No. |On (date) University of GRADUATED - date: mark Degree in At (University) [Country Length of the course Ix] IHAVE NOT YET GRADUATED, | am aware that my admission to the Doctorat ‘on the presentation of my degree certificate before the 31.10.2006 fe School depends STUDYING (subject): Master of Science in Communication & Electronic Engineering AT University): eet elegy (BUET) COUNTRY: _ [Bangladesh Ix] THAVE A FOREIGN QUALIFICATION and I ask the Doctorate School Committee for recognising its equivalence to the Italian degree GRADUATED - date: Oct 30, 2002, mark: CGPA 4.78 (in scale of 5.00) Degree in Bachelor of Science in Electrical & Electronic Engineering |At (University) _|Islamic University of Technology (IUT) [Country Bangladesh Length of the course __|4 Years + THAVE A GOOD KNOWLEDGE OF THE ENGLISH LANGUAGE + KNOW THE FOLLOWING FOREIGN LANGUAGE(S) [1 Italian [1 French 1 Spanish L1German + NUMBER OF PUBLICATIONS (if any): 5 (Published) 2 (Accepted) + GRE (Graduate Record Examinations) SCORE: + DIPLOMA'S AWARDS (if an + PROFESSIONAL ACTIVITY:+1 UNDERTAKE TO INFORM THE UNIVERSITY OF ANY CHANGES TO MY ADDRE! + 1AM AWARE OF THE REGULATIONS REGARDING THE PRESENT CALL AND WILL ACCEPT SUCH REGULATIONS + TAM AWARE OF THE UNIVERSITY REGULATIONS FOR PhD RESEARCH PROGRAMMES AND I WILL ACCEPT IT (http://www iets _Dottorato di Ricerea 1 + 1AM AWARE OF THE EXECUTIVE REGULATIONS OF THE ICT INTERNATIONAL DOCTORATE SCHOOL AND I WILL ACCEPT IT (http://www. ict.unitn.it/organi/documents/varis Date _14.03. 2006