CBET Canadian Charity Reg No: 80114 6101 RR0001

Website: http://www.cbet.ca; Email: info@cbet.ca

2023 CBET University Scholarship: Application Form

[Please read application form and guidelines carefully before completing]
Guidelines:
a) Eligibility: Only First Year University Student at any Public University with at least A- Grade in HSC or
Equivalent Exam; and Total Annual Family Income - maximum Taka Three Lakhs. Orphan student and student
who has received CBET College Scholarship in the past will be given priority.
b) CBET University Scholarship is for 4 years, total Taka 36,000, to be awarded in 4 installments of Tk 9,000 per year
through bank account. Subsequent installments of each year are subject to successful completion of applicable year.
c) Proof of registration at the University (reference letter from the applicable department) and reference / recommendation
letter from the college (where HSC or equivalent has been completed) are required.
d) Complete the application in English. Clear handwriting is acceptable, but typing is preferred.
e) Starts on 6th February 2023 & Last day of submission of the application – 22nd March 2023, via email to info@CBET.ca.
f) CBET in Canada bears the ultimate authority for final selection of the applications. CBET will verify authenticity of the
applications independently; false information provided on an application will result in rejection of current and future
applications. For questions, clarifications, and assistance, contact CBET by email - info@cbet.ca or Surovi by email -
surovi184@gmail.com. Surovi is CBET’s representative in Dhaka, will administer the fund.
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Section 1: Applicant’s Personal Information:
a) Name

b) Gender Male Female

c) National Id No.

d) Date of birth
Day / Month / Year

e) Mobile phone number f) Email address

g) Home Address
(present)

Sub-district District Picture (Like passport photo)

Section 2: Academic Information

Name of the
University Department
a) Current University
Address Sub-district District
Date of
Student ID No. Registration Month / Year
Name of Total
e) Previous College / Institute Grade
Year of completion of HSC or equivalent GPA

F-02_2023 Rev 00: Jan 02, 2023

Section 3: Family and financial information

a) Mother
Name Occupation

c) Father
Name Occupation

e) Guardian
(if Mother/Father not
guardian) Name Occupation

g) Orphan or not No Lost father or mother Lost both father & mother

Less than Taka 1 lakh

h) Total Family Income in 2022 Between Taka 1.1 lakh to 1.5 lakhs
(January-December 2022) Between Taka 1.6 lakh to 2 lakhs
*Certificate required Between Taka 2.1 lakh to 2.5 lakhs
Between Taka 2.6 lakh to 3 lakhs
*Note: Get Annual Income certificate from any professor at the college or Municipality Council, Union
Council or Sub-district Chairman, Ward Councillor in official Letter Head.

Section 4: Checklist: (Please tick)

1. HSC or Equivalent Exam mark sheet
2. Proof of registration to the degree program
3. Family income certificate
4. Reference letter from the university
5. Reference letter from the college
6. Copy of National ID

Section 5: Student Declaration and Signature:

I declare that information provided in this application is true and completed all sections by myself.

Name Signature Date

(day/month/year)

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F-02_2023 Rev 00: Jan 02, 2023