Bangladesh-Korea Information Access Center 2 × PP Size
Application Form for Course at IAC Photograph
Course Title :
2. Father’s Name:
3. Mother’s Name:
4. Date of Birth:
5. Present Address:
6. Permanent Address:
7. Mobile : Land phone :
8. Email Address:
9. Educational Qualification:
Degree Institution Dept./Group Year Result
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I hereby declare that I will abide by the rules and regulations as set by IAC during my stay
at IAC, BUET.
Signature of the Applicant and Date
1. Hard copy of Application Forms and Prospectus can be collected during office hour
(Saturday–Wednesday, 9am–5pm) @ Tk. 20/- from Bangladesh-Korea Information Access
Center (IAC), New Academic Building (West Polashi), BUET, Dhaka – 1000. Application
Forms can also be downloaded from http://www.buet.ac.bd/cse/iac
2. Application Form has to be submitted along with two passport size photographs and a non
refundable application processing fee of Tk. 100/- to IAC and a receipt will be provided.
3. Applicants have to bring the receipt during selection test which will be held as per
schedule. Selected participants will be notified shortly.
4. Selected participants have to make a Bank Draft / Pay Order in favour of Director, BRTC,
BUET from any bank as per course fee. To finalize the course registration, the bank draft /
pay order has to be submitted at IAC.
For Office Use Only
Bank draft or Pay order number: ______________________________________________________
Payment Date: __________________________ Amount Paid: ______________________________
Application Serial Number: 2009_________________ Registration No.: 2009________________
Signature of Receiving Officer Signature of IAC in Charge
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