National University

Gazipur- 1704
0155020009103

Application For CSE 1st Semester Examination 2016

Student's Copy

Student's Name: MD.MURAD HOSSAIN

Father's Name: MD.BOZLUL HOQUE
Registration No: 15502000910

Session: 15-16

Registration Type: REGULAR

College Code & Name: 6469-INSTITUTE OF SCIENCE & TECHNOLOGY, DHANMONDI
Paper Code: 0111, 0112, 0113, 0114, 0115, 0116
University fee: 2000/= In words: Two Thousand Taka Only
(**Excluding college, centre & others fee)

Date: 15/06/2016
Signature & Seal of Principal
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National University
Gazipur- 1704
Application for CSE 1st Semester Examination 2016
College Copy
Student's Name: MD.MURAD HOSSAIN
Father's Name: MD.BOZLUL HOQUE
Registration No: 15502000910

Session: 15-16

College Code & Name: 6469-INSTITUTE OF SCIENCE & TECHNOLOGY, DHANMONDI

Registration Type: REGULAR
Paper Code: 0111, 0112, 0113, 0114, 0115, 0116
University fee: 2000/= In words: Two Thousand Taka Only
(**Excluding college, centre & others fee)

I seek permission to sit for the CSE 1st Semester Examination 2016. If any information given above proves false or if I
ever violate the examination regulation, National University Authority will have the right to cancel my examination. I
further promise that if any question arises about my legality as an examinee, I shall be bound to comply with the
action(s) or decision(s) taken by the Syndicate of National University or the relevant body empowered by the Syndicate
of National University.

Signature of the Examinee

Mobile No: 01685593642

Date: 15/06/2016

CERTIFICATE
(College Authority)
This is to certify that the above mentioned examinee got admitted in session 15-16 in CSE 1st Semester as a regular
student for CSE 1st Semester. I think he/she is eilgible to sit for the examination of final year, considering his/her
performance during the study period. All the information given above by the examinee are correct. If any information
proves false, then his/her examination will be cancelled.

Signature & Seal of Principal