Admission Test No.

House 56, Road 4/A (Satmasjid Road), Dhanmondi, Dhaka-1209

Admissions Office: 01730082197, 01713091936, 01714161613
E-mail: admissions@ulab.edu.bd, Web: www.ulab.edu.bd

APPLICATION FORM FOR UNDERGRADUATE PROGRAMS

Program Information
Bachelor of Business Administration (BBA)
Bachelor of Social Science in Media Studies and Journalism (MSJ)
Bachelor of Arts in English and Humanities (BA English) Please affix here
a passport size
Bachelor of Science in Computer Science and Engineering (CSE)
photograph
Bachelor of Science in Electrical and Electronic Engineering (EEE)
Bachelor of Science in Electronics and Telecommunication Engineering (ETE)

Semester: Spring Summer Fall Year

Student Information
Name of Student (in BLOCK LETTERS):

First Name Middle Name Last Name Nick Name

National ID No:

Father’s Name: Occupation:

Phone: Email:

Mother’s Name: Occupation:

Phone: Email:

Spouse’s Name (If Married): Occupation:

Phone: Email:

Date of Birth (Day/Month/Year) Place of Birth Citizenship

Sex: Male Female Religion Married Single

Blood group Cell No. E-mail

Present Address: Permanent Address:

House No: Road No: House No: Road No:

Block: Section/Sector: Block: Section/Sector:

Village / Area: Village / Area:

P.S: P.O: P.S: P.O:

Post Code: Dist: Post Code: Dist:

Cell No. Phone:

Version: Summer 2018

 Local Guardian’s Information (To be contacted in case of emergency)

Name:

Relationship with the student: Father Mother Other If other, specify

Contact address:

E-mail: Phone:

(All correspondence including academic transcripts will be mailed

Financial Guarantor’s Information
at the address mentioned here)

PLEASE NOTE: The financial guarantor must have a source of income and should be able to provide proof if requested.

Name: Occupation:

Relationship with the student: Father Mother Other If other, specify

Mailing address:

E-mail: Phone:

Are you attending or have attended any undergraduate program in other university/Institution?

Yes No If yes, the reason for discontinuation:

University Name: Program Name: CGPA:

Academic Background
List the school and college you have attended or are now attending.
SSC/GCE ‘O’ Level or equivalent:
Institution Passing Year Division/GPA/Grade

Address of School:
Village / Area: P.O: P.S: Dist:

HSC/GCE ‘A’ Level or equivalent:

Institution Passing Year Division/GPA/Grade

Address of College:
Village / Area: P.O: P.S: Dist:

Are you a son/daughter of a freedom fighter?

Yes No If yes, please attach the freedom fighter's certificate.

Version: Summer 2018

SAT / TOEFL / IELTS

SAT Score TOEFL Score IELTS Score

Merit Scholarships, other Academic Honors and Awards:

Student Declaration:

I hereby accept that if admitted into the University of Liberal Arts Bangladesh, I will be bound by the rules and regulations of the
university and the university student code of conduct. I accept that the manufacture, distribution, possession and consumption
of tobacco products, alcohol, drugs and controlled substances are strictly prohibited on University of Liberal Arts Bangladesh
premises, and that I may be expelled for violating this rule or for abetting violations. I agree that withholding information
requested in this application or giving false information will make me ineligible for admission into University of Liberal Arts
Bangladesh or liable to expulsion. I agree that if I perform well, the university can use my name wherever relevant. I hereby
declare that the above statements are correct and complete to the best of my knowledge.

Full name of Applicant Signature of Applicant

(IN BLOCK LETTERS) Date:

Full name of Parent/ Guardian Signature of Parent/ Guardian

(IN BLOCK LETTERS) Date:

Instructions:
Bring your Pen, Pencils, Sharpeners, Erasers, Calculators.
Mobile phones or any type of radio devices are prohibited.

Version: Summer 2018

The University of Liberal Arts Bangladesh is striving for excellence in education and is committed to the principles of equal
opportunity. It is open to all students with equivalent academic qualifications, and does not discriminate on the basis of age, race,
sex, religion, nationality, ethnicity or social grouping. The final decision regarding admission will be based on the candidate's
academic background and performances in the admission test and/or viva. The decision of the ULAB Admission Committee shall
be final.

REQUIREMENTS FOR COMPLETE APPLICATION:

Please submit the following papers to the admission office.

1. Filled-in Application Form (this form).

2. Four (4) passport-size color photographs.
3. Copies of all certificates and mark-sheets.
4. Photocopy of National ID of the student & one of the parents.

Incomplete applications will not be accepted.

For Office Use Only:

Accepted Unconditionally Accepted Conditionally Not Accepted

Received by Checked by Recommended by Approved by

Do not write below the perforation.

Admission Test No. :

Name: Please affix here

a passport size
photograph
Degree Program:

Year: Spring Summer Fall

Test Date:

Time:
Authorized Signature

Version: Summer 2018