Undergraduate online Application Form http://localhost:8080/UGA/blankFormAction.

do

BANGLADESH UNIVERSITY OF ENGINEERING AND

TECHNOLOGY, DHAKA
APPLICATION FORM
For Admission into Undergraduate Program 2018-2019

SELECT A GROUP TO WHICH YOU WANT TO APPLY

INFORMATION RELATED TO BOARD DATA

S.S.C. or Equivalent Examination

Education Roll Year of
Board No. Passing

H.S.C. or Equivalent Examination

Education Roll Year of
Board No. Passing

Continue...

All the fields below are mandatory except mentioned otherwise as "optional" or "if any".
Please note that the following page may remain active for data entry for a maximum of 120
minutes.
PERSONAL INFORMATION

1. Name in Full
2. Father's Name
3. Mother's Name

1 of 4 28-Jul-19, 10:13 AM
Undergraduate online Application Form http://localhost:8080/UGA/blankFormAction.do

4. (i) Permanent Division

Address Loading District and Thana may take time depending
District
upon the speed of your Internet connection.
Thana
If your Thana is not in the list, please select 'Others' and then write the name of the Thana.

Remaining part of address (House No, Road No./ Village, etc.)

Line 1
(max 50 characters)
Line 2 (optional)
(max 50 characters)

(ii) Present Division

Address Loading District and Thana may take time depending
District
upon the speed of your Internet connection.
Thana
If your Thana is not in the list, please select 'Others' and then write the name of the Thana.

Remaining part of address (House No, Road No./ Village, etc.)

Line 1
(max 50 characters)
Line 2 (optional)
(max 50 characters)

Mobile No. (This Mobile No. will be used for important

communications)

Phone No. (if

(with area code)
any)
E-mail (if any)
5. Gender Male Female
6. Religion
7. Date of Birth
Your birth date will be needed for downloading
Receipt of Application, Money Receipt, Admit Card,
Place of etc.
Birth

8. Nationality
Are you Bangladeshi by Birth? Yes No

9. Name of
Guardian
Relationship with
Applicant

2 of 4 28-Jul-19, 10:13 AM
Undergraduate online Application Form http://localhost:8080/UGA/blankFormAction.do

Address Line 1
(max 50 characters)
Line 2 (optional)
(max 50 characters)

Mobile No.
Phone No. (if
(with area code)
any)
10. Are you Tribal? Yes
No
11. Are you Left-handed? Yes
No
12. Do you have any physical Yes
disability? No

13. E D U C A T I O N A L INFORMATION

Examination Year of Education Registration

Name of the Institution Roll No.
Passed Passing Board No.

S.S.C or
2016 DHAKA Shahid Faruq Iqbal Girls' High School 100001 1310691559
Equivalent

H.S.C or
2018 Dhaka 10001
Equivalent

14. G P A / M A R K S O B T A I N E D

S.S.C or Equivalent H.S.C or Equivalent

GPA (without GP/ Grade/ Marks Obtained
GPA Additional
Subject) Result Mathematics Physics Chemistry English Bangla Biology

Grade
5.00 4.78 ---
Marks

15. P H O T O & S I G N A T U R E

3 of 4 28-Jul-19, 10:13 AM
Undergraduate online Application Form http://localhost:8080/UGA/blankFormAction.do

Please be careful about the legibility of your photograph and

signature.
Illegible or deformed photograph and signature may lead to the
cancellation of your application.

16. M O B I L E BANKING IFORMATION

Mobile banking account number for refunding
the application fee (after deducting processing
fee), if not eligible for the admission test

Type the code you see below (do not type a space between two characters)

Click here to get another code if you find difficulty in reading the above code.

Preview

4 of 4 28-Jul-19, 10:13 AM
Undergraduate online Application Form http://localhost:8080/UGA/blankFormAction.do

BANGLADESH UNIVERSITY OF ENGINEERING AND

TECHNOLOGY, DHAKA
APPLICATION FORM
For Admission into Undergraduate Program 2018-2019

SELECT A GROUP TO WHICH YOU WANT TO APPLY

INFORMATION RELATED TO BOARD DATA

S.S.C. or Equivalent Examination

Education Roll Year of
Board No. Passing

H.S.C. or Equivalent Examination

Education Roll Year of
Board No. Passing

Continue...

All the fields below are mandatory except mentioned otherwise as "optional" or "if any".
Please note that the following page may remain active for data entry for a maximum of 120
minutes.
PERSONAL INFORMATION

1. Name in Full
2. Father's Name
3. Mother's Name

1 of 4 28-Jul-19, 10:13 AM
Undergraduate online Application Form http://localhost:8080/UGA/blankFormAction.do

4. (i) Permanent Division

Address Loading District and Thana may take time depending
District
upon the speed of your Internet connection.
Thana
If your Thana is not in the list, please select 'Others' and then write the name of the Thana.

Remaining part of address (House No, Road No./ Village, etc.)

Line 1
(max 50 characters)
Line 2 (optional)
(max 50 characters)

(ii) Present Division

Address Loading District and Thana may take time depending
District
upon the speed of your Internet connection.
Thana
If your Thana is not in the list, please select 'Others' and then write the name of the Thana.

Remaining part of address (House No, Road No./ Village, etc.)

Line 1
(max 50 characters)
Line 2 (optional)
(max 50 characters)

Mobile No. (This Mobile No. will be used for important

communications)

Phone No. (if

(with area code)
any)
E-mail (if any)
5. Gender Male Female
6. Religion
7. Date of Birth
Your birth date will be needed for downloading
Receipt of Application, Money Receipt, Admit Card,
Place of etc.
Birth

8. Nationality
Are you Bangladeshi by Birth? Yes No

9. Name of
Guardian
Relationship with
Applicant

2 of 4 28-Jul-19, 10:13 AM
Undergraduate online Application Form http://localhost:8080/UGA/blankFormAction.do

Address Line 1
(max 50 characters)
Line 2 (optional)
(max 50 characters)

Mobile No.
Phone No. (if
(with area code)
any)
10. Are you Tribal? Yes
No
11. Are you Left-handed? Yes
No
12. Do you have any physical Yes
disability? No

13. E D U C A T I O N A L INFORMATION

Examination Year of Education Registration

Name of the Institution Roll No.
Passed Passing Board No.

S.S.C or
2016 DHAKA Shahid Faruq Iqbal Girls' High School 100001 1310691559
Equivalent

H.S.C or
2018 Dhaka 10001
Equivalent

14. G P A / M A R K S O B T A I N E D

S.S.C or Equivalent H.S.C or Equivalent

GPA (without GP/ Grade/ Marks Obtained
GPA Additional
Subject) Result Mathematics Physics Chemistry English Bangla Biology

Grade
5.00 4.78 ---
Marks

15. P H O T O & S I G N A T U R E

3 of 4 28-Jul-19, 10:13 AM
Undergraduate online Application Form http://localhost:8080/UGA/blankFormAction.do

Please be careful about the legibility of your photograph and

signature.
Illegible or deformed photograph and signature may lead to the
cancellation of your application.

16. M O B I L E BANKING IFORMATION

Mobile banking account number for refunding
the application fee (after deducting processing
fee), if not eligible for the admission test

Type the code you see below (do not type a space between two characters)

Click here to get another code if you find difficulty in reading the above code.

Preview

4 of 4 28-Jul-19, 10:13 AM