American International University - Bangladesh

"Where Leaders are Created"

ADMISSION APPLICANT INFORMATION
Ref .No 36239

This is not Admit Card. Please preserve this document. It may be required during online viva.

Admission Information
Admission Exam : Fall 2021-2022 Slot 3
Applied In : Bachelor of Science in Computer Science & Engineering

Applicant Information
Applicant Name : ABU SAYEED RIFAT Phone : 01703655433
Email : mdrifat881122@gmail.com Emergency Contact : 01727450390
Present Address : CB-13/A, A-1, Kachukhet Puran Bazar, Dhaka, Bangladesh

Permanent Address : CB-13/A, A-1, Kachukhet Puran Bazar, Dhaka, Bangladesh

Family Information
Father Name : Md Ruhul Amin Employer / Business Name : Export Import
Occupation : Business Man Nationality : Bangladeshi Phone : 01727450390 Email :
NationalID : 2650898230445 Passport No : Issue Date : 9/18/2021 Issue Place :
Mother Name : Asma Amin Employer / Business Name :
Occupation : House Wife Nationality : Bangladeshi Phone : 01837264698 Email :
NationalID : 2650898230446 Passport No : Issue Date : 9/18/2021 Issue Place :

Academic Information
Degree : SSC Equivalent Group : Science Result : 4.83 Board : DHAKA
Institution : Adamjee Cantt. Public School Year : 2018
Degree : HSC Equivalent Group : Science Result : 5.00 Board : DHAKA
Institution : Shaheed Police Smrity College Year : 2020
Degree : Group : Result : Board :
Institution : Year :
Degree : Group : Result : Board :
Institution : Year :

Language Proficiency
TOEFL Score : Date : SAT Score : Date :
IELTS Score : Date : GRE/GMAT Score : Date :
Others Title : Score : Date :

Work Experiences
Organization Name : Supervisor Name :
Start Date : End Date : Position : Phone :
Address :
Organization Name : Supervisor Name :
Start Date : End Date : Position : Phone :
Address :

Other Information
Family Income : 1,00,000 BDT-5,00,000 BDT Financing Source : Parents Contagious / Infectious Diseases : No
Appeared Before : No Reg. Before : No Physical / Mental Disability : No
Parent Freedom Fighter : No Alumni ID : Convicted / Criminal Offences : No
Is Discontinued : No Discontinustion Reason :
Program : Institution :

I hereby accept that if admitted to AIUB, I will be bound by all the Rules and Regulations of the University and the AIUB Code of Conduct. I also
understand that withholding or providing false information requested in this Application Form will make Me ineligible for Admission into AIUB and may
even lead to Termination of Enrollment if admitted. I therefore certify that all the statements provided above are True and Complete to the best of My
knowledge. I further acknowledge and accept that the AIUB Admission Committee reserves the rights to accept or reject my admission on the basis of
my previous academic records and my performance in the Admission Test.

Print Date : 9/18/2021 Printed by : mdrifat881122@gmail.com