Bangladesh University of Engineering and Technology

Department Selection (Option) Form

Admission Test 2018-2019 Group 'Ka'

Engineering Departments and URP

Merit Position (Engineering

Admission Test Roll No. Application Serial No. Departments and URP)

58748 14079 0635

Name : KANIZ FAHIMA ROVA
Father's name : MD. KHAIRUL KABIR RUMI
Mother's name : FARAH KABIR

List of Departments filled up by the applicant according to his/her order of choice

Industrial and
Electrical and
Metallurgical
Architecture

Naval Arch.
Engineering

Engineering

Engineering

Engineering

Engineering

Engineering

Engineering

Engineering

Engineering

Engineering
Science and
Materials &

Mechanical

Biomedical
and Marine
Production
Urban and

Resources

Electronic

Computer
Chemical
Regional
Planning

(NAME)
(ARCH)

(MME)
(WRE)

(BME)
(URP)

(EEE)
(ChE)

(CSE)
Water

(ME)

(IPE)
Civil

(CE)

--- 11 07 09 03 08 02 01 05 06 10 04

(Rova)

Date Applicant's Signature

I fully agree with the order of choice for selection of department and admission into BUET by the above mentioned applicant.

(Farah Kabir)

Date Guardian's Consent (signature)

(To be filled up by office)

Registration Remark of Medical Officer

No.
Fit
Student No.
Unfit
Department
Date of admission
Chief Medical Officer's Signature and Date
Registrar's Signature and Date

Signature of the Chairman, Admission Committees