BANGLADESH UNIVERSITY OF ENGINEERING AND TECHNOLOGY, DHAKA
APPLICATION FORM
For Admission into Undergraduate Program 2015-2016

  S E L E C T     A     G R O U P    T O    W H I C H    Y O U     W A N T    T O   A P P L Y
Group
Ka Group
Engineering departments and URP department
Kha Group
Engineering departments, URP department and Architecture department
  I N F O R M A T I O N     R E L A T E D     T O    B O A R D     D A T A
S.S.C. or Equivalent Examination
Education Board Roll No. Year of Passing
H.S.C. or Equivalent Examination
Education Board Roll No. Year of Passing
 
P E R S O N A L      I N F O R M A T I O N
1.
Name in Full
2.
Father's Name
3.
Mother's Name
4.
(i) Permanent Address
Division
District Loading District and Thana may take time depending upon the speed of your Internet connection.
Thana  
If your Thana is not in the list, please select 'Others' and then write the name of the Thana.
Remaining part of address (House No, Road No./ Village, etc.)
Line 1 (max 50 characters)
Line 2 (optional) (max 30 characters)
(ii) Present Address
Division
District Loading District and Thana may take time depending upon the speed of your Internet connection.
Thana  
If your Thana is not in the list, please select 'Others' and then write the name of the Thana.
Remaining part of address (House No, Road No./ Village, etc.)
Line 1 (max 50 characters)
Line 2 (optional) (max 30 characters)
Mobile No.   (This Mobile No. will be used for important communications)
Phone No. (if any) (with area code)
E-mail (if any)
5.
Gender  Male     Female   
6.
Religion
7.
Date of Birth    
Place of Birth
Your birth date will be needed for downloading Receipt of Application, Money Receipt, Admit Card, etc.
8.
Nationality
Are you Bangladeshi by Birth? Yes No
9.
Name of Guardian
Relationship with Applicant
Address Line 1 (max 50 characters)
  Line 2 (optional) (max 50 characters)
Mobile No.
Phone No. (if any) (with area code)
10.
Are you Tribal? Yes No
11.
Are you Left-handed? Yes No
12.
Do you have any physical disability? Yes No