Anmeldungsformular

Für die Prüfungen in Bangladesh

Registration Form
For exams in Bangladesh

Please fill in this form in capital letters

Name of exam: Registration/Participant Number:

Male Female

Given/First name: MD HARUN OR

Family name: RASHID

(According to passport)

Date of birth: 25-01-2000 Place of birth: Kurigram

Nationality: Bangladeshi

Mailing address: ROYGANJ, NAGESWARI, KURIGRAM

Tel./Mobile: 01769922994 E- Mail: orrashid29@gmail.com

Educational qualifications: BSc undergraduate
Profession: Undergraduate
(if student, details of studies)

Mother tongue: Bangla Languages known: English

Purpose of learning German: Go for Higher Stadies

Passport or identity card No.: 6914331043

✔ I declare herewith that I will abide by the rules and regulations of the examination
that I want to appear in.
Furthermore, I declare that I have agreed to all terms and conditions here:
https://www.goethe.de/ins/bd/en/spr/kur/gia/kue.html

a) Withdrawal from an exam is only possible if the candidate is seriously ill. In that case a copy of medical
certificate should be submitted by the candidate to the authority which would be considered as a prof of
candidate’s illness. After that the cancellation from the exam would be granted and the exam Fee will be
refunded deducting an administrative fee of Tk. 2000,-.
b) The cancellation of registration is possible before 10 days of the examination takes place.
c) For any correction in the certificate of exam, which will be issued after the result of exam, I have to pay
an amount of 2500,- Taka, provided that the correction is necessary because of any wrong information
that I have given in this registration form

19-04-2022
Dhaka, ___________________________ _____________________________________
Signature of applicant