GOVERNMENT OF BRUNEI DARUSSALAM SCHOLARSHIP FOR FOREIGN STUDENTS TENABLE IN BRUNEI DARUSSALAM ACADEMIC SESSION| 2020/2021 APPLICATION FORM CODE PROGRAMME NAME INSTITUTION ~ cn) FIRSTCHOICE | 903 Bachelor of Science ad SECOND CHOICE, Ate | Bachelor ofScience (Hons)in [| unison omputing ure INSTRUCTIONS TO APPLICANTS 1. Each applicant must complete this form by typing; handwriting in this case is not allowed. 2. The following documents MUST be submitted along with this form: |. Recent passport size photographs. ii, Certified true copies of academic qualifications and other supporting documents (i.e. certificates, testimonials, transcripts). iii. Certified English translations of supporting documents must be submitted for documents that are not in English. iv. Applicant's Statement of Purpose (Item 6). v. Certified true copies of Birth Certificate and Passport. vi. Security Vetting from country of origin/residence. 1 2020/20211, PERSONAL AND CONTACT DETAILS (Please use BLOCK Letters) | Name (Please underline surname): MUHAMMAD SHAKHAWAT HOSSAIN Passport No: BKO645566, Citizenship: BANGLADESHI Date of Birth ( ddimm/yyyy ): 10/12/1997 Country of Birth: BANGLADESH Religion: ISLAM Ethnicity: Marital Status: SINGLE Single / Married / Divorced / Widowed" Gender: MALE Male / Female” Postal Address: 187, ARAMBAGH, MOTIJHEEL, DHAKA-1000, BANGLADESH Telephone No.:- (country code) (area code) {tel na) Mobile No.: | +8801861587357 (country code) (area code) (tel no) {telno) E-mail address (if any): shakhawath0165@gmail.com correspondence) (Candidates are strongly advised to provide either an email address or fax number to facilitate Relationship: FATHER Occupation / Designation: DAY LABOURER Name of Parent/ Guardian/ Next of Kin’: MD SAHADAT HOSSAIN Address: SOUTH EKLASHPUR, UTTAR MATLAB, CHANDPUR Contact Number/ Email Address: +8801864215252 *delete as appropriate 2. EDUCATION EXPERIENCE (Details of schools attended and academic qualifications) A. Please state all schools attended from the age of 15 202072021Name of School Institution From | To Qualifications Obtained AL AMIN ACADEMY SCHOOL & 2008 [2013 | GOT GPA5ON SCALE OF SIN COLLEGE, CHANDPUR SSC( Secondary School Certificate) NOTRE DAME COLLEGE, DHAKA [2014 | 2015 | GOTGPAS5ONSCALE OF SIN HSC(Higher Secondary Certificate) B. General Certificate of Education (Ordinary Level or Equivalent) (Please state subjects that you have passed only) Year ‘Subjects Grad | Medium | Examination Body e 201 | JSC EXAMINATION( BENGALI, ‘A+ | BANGLA | BOARD OF 0 | ENGLISH, ISLAM, MATHEMATICS, INTERMEDIATE AND SCIENCE, BANGLADESH & GLOBAL SECONDARY STUDIES, ICT) EDUCATION,COMILL A 201 | SSC EXAMINATION( BENGALI, ‘A+ | BANGLA | BOARD OF 3 | ENGLISH, MATHEMATICS, ISLAM, GROUP: | INTERMEDIATE AND SOCIAL SCIENC | SECONDARY SCIENCE,PHYSICS, CHEMISTRY, HIGHE E EDUCATION,COMILL R MATHEMATICS, BIOLOGY) A 201 | HSC EXAMINATION( BANGLA, ‘At | BANGLA | BOARD OF 5 | ENGLISH, ICT, PHYSICS,CHEMISTRY, GROUP: | INTERMEDIATE AND HIGHER MATHEMATICS, BIOLOGY) SCIENC | SECONDARY E EDUCATION,DHAKA C. General Certificate of Education (Advanced Level or Equivalent) 3 2ozor2021(Please state subjects that you have passed only) Year ‘Subjects Grade | Medium Examination Body D. Other Qualifications (Certificate/ National Certificate/ National Diplomal Higher National Diploma/ First Degree) Qualifications Name of institute & | Duration | Date | Classification’ [ Medium of Country Passed Grade Instruction E. Intended Qualification Name of Programme/ Course ‘Subjects Date of Results Expected 3. LANGUAGE PROFICIENCY Language Written Reading ‘Spoken English 7 El 700 41 2 3 1 2 3 1 2 3 Others, Please State: i 1 2 3 1 2 3 |4 2 3 41 0203 1 2 3 1 23 4 ‘2020/2021ACADEMIC DISTINCTIONS OR PRIZES RECEIVED 1. [stood first in class seven to ten. For this reason, | was given four prizes. 2. | was a first boy from class one to five. | got five merit prizes. 3. | have also participated many competitions such as speech, running, cricket, debate etc. }. PROPOSED FUTURE CAREER Tn the world, everyone has an aim in life the goal fo set. And | am not different. | first thought about being a doctor when | was a child, and now after many long years of study , now | should be an engineer. 6 2020/20215. APPLICANT’S STATEMENT OF PURPOSE In an essay of up to 200 words, describe your plan of study and/ or research you propose to pursue and relate this to your future career plan (You may include additional relevant material if there is insufficient space on this form). Twant to be @ successful engineer. Because, | am interested in working in this technological world where | will meet different kinds of people, deal with them and another thing — in today’s world, | can construct a strong position in society and can go with the time staying in this technological world. | am very much interested in OT, BLOCKCHAIN TECHNOLOGY, ARTIFICIAL INTELLIGENCE, SEO ete and in my career I want to meet these technologies. After competition my graduation | come back to my country and set up an it farm to serve ‘our countrymen because it sector now-a -days becomes one of the big economical sectors in our country providing a lions share in our GDP. To me, this is the most interesting place where | can get name and fame if |am successful utilizing everything. But not for me only, getting my service, my country will also be benefited right? Not only that, if | can establish multinational companies in abroad , then my country people living in abroad will get first priority to get in my company. So that, my country people gets benefited most. | have completed my higher secondary certificate from Notre dame college, Dhaka with GPA 5 on scale of 5 and secondary school certificate from Al Amin Academy school & college, Chandpur with GPA 5 on scale of 5 . Now | want to study computer science. Brunei is a beautiful country having a good educational environment. As | am a son of a poor income family, a scholarship surely be a great opportunity to me to continue my studies. When | was in class nine, from then I myself used to bear my expenses as a home tutor. If | will be given the opportunity, | can try hard to reach my goad and It will be a great help for me. However, being successful is not as easy as it sounds. Not only aiming in life will get me what I want. I have to work hard with full dedication, sincerity and honesty. If | start with hard working, my next steps will be easy to fulfil my dreams. 7 oz0r2021Please tick if additional materials are enclosed 6. WORK EXPERIENCE (Please attach additional information if required) Part-Time/ Dates Employer's Name and Address Position Held 7 Full-Time From To YOUTH ADMISSION & ACADEMIC - CARE( Arambagh , Motijheel, een OF PART TIME 2015 2019 i Arambssah. Mathes MATHEMATICS Dhake-1000) EXTRA CURRICULAR ACTIVITIES (Please attach additional information if required) Year Types of Activities (Sports, Cultural, Community Services etc.) Level of Participation (e.g. Club, District, National, Regional, International etc.) ] | 2004- 2007 CRICKET TRIGERS SPORTING CLUB 2008- 2013 WORKS AS A VOLUNTEER AT SCHOOL VOLUNTEER MEMBERSHIP IN ASSOCIATIONS/ PROFESSIONAL BODIES (Please attach additional information if required) Year Associations/ Professional Bodies Position Helc 2015 ‘SEBOK FOUNDATION MEMBER 2019 KNOWLEDGE SEARCHING SOCIETY MEMBER ACADEMIC AWARDS/ SCHOLARSHIP ACHIEVED, IF ANY 8 2020/2021‘Academic Awards/ Scholarship Institution Name Date Awarded CLASS TWO TO FIVE , CHANDPUR ZELLA 2004-2007 KINDERGARTEN WELFARE ASSOCIATION ZELLA PARISHAD SCHOLARSHIP | ZELLA PARISHAD , 2013 CHANDPUR TALENT POOL SCHOLARSHIP IN BOARD OF INTERMEDIATE | 2007,2010 PEC AND JSC EXAMINATION AND SECONDARY EDUCATION,COMILLA 10. REFERENCES (Please give details of two (2) people who can act as referees to support your application. You should contact them yourself and request them to each complete a “Reference Letter” Form overleaf (C1 or C2) and submit the reference letter accordingly. Applications cannot be considered unless references are received Name of Referee Job Title & Telephone & E-mail address Organisation Fax ‘Sanji Kumer Guha | Head of the department, skguhachemsi@gmailcom " ven noe 01932974284 | nee Chemistry, Notre dame college, Dhaka Bidutt kumer Vodro | Head ofthe department, _| aettamemaeearaicom Mathematics, Notre dame | 8801573928 college, Dhaka 11. DECLARATION | confirm that, to the best of my knowledge, the information given in this form is true, ‘complete and accurate. | understand that any offer of a place on the above course is subject to my acceptance of the Government of Brunei Darussalam Scholarship for Foreign ‘Students Scholarship Award's general terms and conditions that have been set out. If awarded, | agree to abide by the terms and conditions of the award and shall return to my home country as soon as | complete my scheduled programme and will not extend my stay without valid reasons. Date: OB OL joy. Shea Signature: at 202012021C1 GOVERNMENT OF BRUNEI DARUSSALAM SCHOLARSHIP FOR FOREIGN STUDENTS: “REFERENCE LETTER’ Assessment on the applicant's academic ability. 4. Applicant's Name: MUHAMMAD SHAKHAWAT HOSSAIN Country: BANGLADESH Courses Applied: UNDERGRADUATE 2. Inwhat capacity do you know the applicant? (e.g. teacher, supervisor, Principal etc.) TEACHER... 3, How long have you known the applicant? ABOUT 5 YEARS. 4, Please evaluate the applicant's performance by putting an X in the appropriate spaces below. Extra boxes are available if you wish to add up to three other qualities which you may find relevant to the assessment of the candidate (E.g. All-round ability, ingenuity, accountability, manual dexterity etc.) Assessment on: | Excellent | VeryGood | Good | Average | Below Average ‘Academic Record English Proficiency Creative Thinking Research Ability elefapat 4 Industry/ Application ‘Judgement Independent Honesty Motivation 2 2) ef ey= Self Discipline 10 2020/20215, Is the applicant's proficiency in English Language (oral and written) adequate to meet the standard required? Please comment. Sure, he could easily understand the lessons in the classroom. He also speaks well. | have seen his previous English papers. He has done well in those exams. You can consider him. 6. Please give your overall assessment on the applicant's academic ability Ihave found Shakhawat Hossain to be resourceful and adaptive. He plans well and works diligently at being organised . His assignments and exams were well. He is honest and very industrious. When he faced any problems, he used to come to me to solve. His behaviour with teachers and his classmates were well. Besides, his previous academic records are also good. He has been an outstanding student, | am delighted to encourage and assist him pursuing of this goals. | strongly recommend him for your scholarship. Feel free to contact me if you have any questions. Referee's Name: Sanjit Kumer Guha Position: Head of the department, Chemistry Company/Organisation: Notre dame college Address: Motijheel, Dhaka-1000, Bangladesh Tel No: 222974284. Fax No: . skguhachemst@gmail.com Sanjit Kumer Guha Head of The Department pal ine Coleg Signature: - .. Email address: Date: .! THANK YOU FOR YOUR ASSISTANCE. YOU MAY SEND THE COMPLETED FORM TO: Technical Assistance Division, | have found Shakhawat to be resourceful and adaptive. He plans well and works diligently at being organanized. His assignments and exams were well. He is, honest and vory industrious. When he faced any problems, he used to come to me to solve.His behavior with teachers and his classmates were well. Besides, his previous academic records are also good, He has been an outstanding student, | am delighted to encourage and assist him pursuing of this goals. I strongly recommend him for your scholarship. Feel free to contact me if, you have any questions Department of Administration, Ministry of Foreign Affairs, Jalan Subok, Bandar Seri Begawan, 8D2710, Brunei Darussalam. OR E-MAIL/ FAX TO: 1" 2020/2021E-mail: applyBDGS2020@mfa.gov.bn Fax No: (673) 2261250. c2 GOVERNMENT OF BRUNEI DARUSSALAM SCHOLARSHIP FOR FOREIGN STUDENTS. ‘REFERENCE LETTER’ Assessment on the applicant's academic ability. 1. Applicant's Name: Muhammad Shakhawat Hossain Country: Bangladesh Courses Applied: Undergraduate 2. Inwhat capacity do you know the applicant? (e.g. teacher, supervisor, Principal etc.) Teacher 3. How long have you known the applicant? 4 years 4, Please evaluate the applicant's performance by putting an X in the appropriate spaces below, Extra boxes are available if you wish to add up to three other qualities which you may find relevant to the assessment of the candidate (E.g, All-round ability, ingenuity, accountability, manual dexterity etc.) Assessment on: | Excellent | VeryGood |Good | Average | Below Average Academic Record V English Proficiency Creative Thinking | Research Ability | | Industry/ Application Judgement Independent Honesty Motivation 2 =f =f -f ep ef ef fe] Self Discipline 2 2020/20215, Is the applicant's proficiency in English Language (oral and written) adequate to meet the standard required? Please comment, Yes, Mr. Shakhawat Hossain has a good proficiency in English both oral and Written. Also he has a good ability in English grammar. He can easily cope with the classes in your University, 6. Please give your overall assessment on the applicant's academic ability. I had the opportunity to observe and appreciate Shakhawat hossain’s academic calibre, as well as the versatility of his personality. He was one of my favourite students. He was a great student who immediately made a strong impression in classes. | knew him since 2013. From then, | noticed that he was an especially motivated student. He was active in every lab class. | found Shakhawat hossain to be a personal delight in class. He also has a unique ability to interact with his classmates. Surely, he has a good personality and ability to work with others. Due to his academic background and performance in the classroom, | consider him to be an ideal candidate for the scholarship. He is a meritorious student of a poor income family so a scholarship can helps him a lot to reach his goals. Referee's Name: Bidutt kumer Vodro Designation: Department Head, Mathematics, Notre dame college Dhaka Address: 10/10, Arambagh, Motijheel, Dhaka-1000 Tel No: Fax NO! vsssseee .. Email address: Viduttkumernde@gmail.com Date: OF OD. 2020 Signature: THANK YOU FOR YOUR ASSISTANCE. YOU MAY SEND THE COMPLETED FORM TO: Technical Assistance Division, Department of Administration, Ministry of Foreign Affairs, Jalan Subok, Bandar Seri Begawan, BD2710, Brunei Darussalam. OR E-MAIL/ FAX TO: E-mail: applyBDGS2020@mfa.gov.bn Fax No: (673) 2261250. TO BE COMPLETED BY THE NOMINATING GOVERNMENT aK} ozora021