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5-3258.4. Studentship, Migration, MOI, Program Duration Certificate Application Form

1) The document is an application form from a student at North South University requesting various certificates including a studentship certificate, migration certificate, certificate on medium of instruction, or program duration certificate. 2) The student provides their personal details such as name, student ID number, major, date of birth, gender, and contact number to be included on the certificates. 3) The student must obtain clearance from the NSU accounts and library, include a photocopy of their SSC certificate, and pay a 100 Taka fee for each certificate copy at a specified bank.

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Rahman Hasiburrahmanr
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302 views1 page

5-3258.4. Studentship, Migration, MOI, Program Duration Certificate Application Form

1) The document is an application form from a student at North South University requesting various certificates including a studentship certificate, migration certificate, certificate on medium of instruction, or program duration certificate. 2) The student provides their personal details such as name, student ID number, major, date of birth, gender, and contact number to be included on the certificates. 3) The student must obtain clearance from the NSU accounts and library, include a photocopy of their SSC certificate, and pay a 100 Taka fee for each certificate copy at a specified bank.

Uploaded by

Rahman Hasiburrahmanr
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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COE Form- 4

North South University


Application Form for Studentship Certificate/ Migration Certificate/
Certificate on Medium of Instruction etc.
To
The Controller of Examinations
North South University
Bashundhara, Dhaka-1229

Sir,
1. Please kindly issue me the following certificate(s) identified with Tick Marks (√):
a) Studentship Certificate 
b) Migration Certificate 
c) Certificate on Medium of Instruction 
d) Program Duration Certificate 
e) Any other document (please specify)  _______________ _________________________________

For clearance of NSU Accounts For Library clearance


Signature with date & Seal: Signature with date & Seal:

2. For this purpose my particulars are given below (Please Write in BLOCK letter):
a) Name of the Student (as per SSC/Equivalent Certificate) : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
b) Student’s ID Number :_______________________
c) Major(s) :_______________________

d) Father’s Name (as per SSC/ Equivalent Certificate) :_______________________

e) Mother’s Name (as per SSC/Equivalent Certificate) : _______________________

f) Date of Birth (as per SSC/Equivalent Certificate) :_______________________


g) Contact Number :_______________________
h) Gender [Please Marks (√)]:  Male  Female
Yours Sincerely

Signature of the student with date



Signature of the receiving Officer with date: _ _ _ _ _ _ _ _ _ _ _ _ _ Please collect the document on: _ _ _ _ _ _ _ _ _ _ _ _

Student’s Part for "Various Certificate” (to be filled by student):

Name of the Student: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ID# _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Office seal
Signature of the Student with date

N. B. Please enclose photocopy of your SSC/ ‘O’ level /Equivalent certificate. 2. Please pay Tk.100/- for each copy at Bank
[United Commercial Bank Limited (UCB), Bashundhara Branch, Dhaka (beside GP House)] 3. NSU Accounts &
Library clearance is not required for the graduates.
*The requested document will be destroyed if the applicant does not receive it within three months from the date of delivery.

Studentship Migration Medium of Instruction Program Duration Another Certificate

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