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International University Of Business Agriculture & Technology


Present Address in town:

Mailing Address of the Guardian (if different from present address):

Permanent Address in Village (if different from present address):

About Yourself:

Emergency Contact:


WORK EXPERIENCE (most recent first)

EXTERNAL TEST STATUS: (If taken, appeared, fill in relevant ones only)

ACADEMIC RECORD: List all schools, colleges, and universities attended (most recent first)

Name, Address and Contact Particulars of Last Institution Attended:

DISTINCTIONS, honors, and awards earned. Please indicate basis of selection if award is not well known.

FINANCIAL INFORMATION (indicate the sources of your financial support & the amounts to be drawn from each source.)

Source of Support



Sponsors Name

1. Personal Resources

2. Parents or Relatives

3. Scholarship/Fellowship

4. Deferred Payment


I wish to be considered for enrolment at IUBAT University as per rules and regulations contained in the Bulletin and declare that the information submitted herein is correct and complete. I understand that IUBAT University may obtain official records from any university or other institutions previously attended by me. I also understand that IUBAT University reserves the right to vary or reverse any decision made on the basis of incorrect or incomplete information and that this action may be taken at any time. If admitted, I agree to abide by all the regulations of IUBAT University prevalent at this time and those modified or adopted by competent authority of IUBAT University in future.

Signature of the candidate
Signature of legal guardian (for those who are under 18 years of age)

Name & Address of the legal guardian:

The completed application should be submitted to:
The Director of Admissions
International University of Business Agriculture and Technology (IUBAT University)
4 Embankment Drive Road, Sector 10, Uttara Model Town, Dhaka 1230, Bangladesh
Or by Fax: 880-2-5895 2625 or as attached document by e-mail at
For additional information, contact may be made with IUBAT University through:
Phone: (880-2) 4895 3523 (Hunting), 01714 014933, 58955470, 58954469, or Fax: 880-2-5895 2625 ,