817723, 052 PM Application For IT Course: IAG IAC Bangladesh-Korea Information Access Center + Goto IAC Home Course Code * TACKI-MLAL ——v Batch ID. Batch2 ¥ Ez Course Title * Machine Learning and Al (KIV Course) . ‘Choose File )No fle chosen Upload 1. Name * Ma. Asacizzaman Ifpossible, select your passport size photo from . Father's Name * MD. MUKTADER RAHMAN your computer by clicking browse and then Mother's Name * SAGARA RAD Upload. Supported filetype is jpg with max size Date of Birth & Sex* Day 31¥ Month 12 Year 1990 Sex: Male ¥ 300K, 5. Present Address* District Dhaka = Thana Adabor Rest Part 1-03, mohanmadia housing society, sadpur, chake-1287 6.Permanent Address * District Dinajpur Thana Bigan) Rest Part holding-328, uttorbari, nowpara, 97 osohaneadpur union parishad 7. Telephone Land Bangladesh orer1912366 Mobile * (single mobile number with only degits, Le 01711234567) * mazaman7152@gmailcom (Enter single email 8. Email Address = el 9. Country * Bangladesh . 10, Emergeney Contact * Name: ‘md, muktader rahmar Address ‘naka Relationship with the arplicent a Telephone/Mobile: 01556356340 11, Educational Background * : (submit attested photocopies of cerificates/mark sheets for each) Degree/Examination Institution Group/Major Result(Grade Year ssc Dhaka Residential Model Collage Science v 50 2008 sc. Dhaka Residential Model College Science v 42 2007 Bsc Eastern Univerty FEE 3.86 2017 ct . 12. Are you a university student in the field of CSE/CS/IT/ICT or graduates in the same field? * ®No OYes If Yes, then please write the name of the programming course you have completed, Ifyou have completed multiple courses then enter the best one. Ifyou haven't completed any programming course just let ths information blank, Name of the course Using © Grade 13. Present Occupation: © Jobbolder ® Student © Others (vou are ajobholder, please write below the name of your organization, designation etc. Ifyou are a student, write the name of the institution, department, course etc.) tps ese buel ac.baiae/applicationtfonlneapp hp an817723, 052 PM Application For IT Course: IAG 14, Skills: Operating System linux Database Programming c Others MATLAB, mm nota robot agree that withholding information requested inthis application or giving false information will make me ineligible for admission. 1 hereby certify that the above statements are correct and complete to the best of my knowledge. Suibmit Application Inips:fese buet.ac.baactapplicationtionineapp.ohp 2