Online Admission Form

UNIVERSITY OF SCIENCE & TECHNOLOGY CHITTAGONG

Foy’s Lake, Chattogram, Bangladesh.
Tel: 031-659233, 659070-1 (Ext.-126), Fax: 031-659545

Date

Department

Department (Second Choice)

Department (Third Choice)

Personal Information

First Name

Last Name

Father Name

Father Occupation

Mother Name

Mother Occupation

Guardian's Name

Relation with Guardian's

Date of Birth

Nationality

Religion

Personal Phone/Mobile

Gender

Blood Group

National ID/ Birth Registration

Personal Email Address

Guardian's Mobile Number

Guardian's Email Address

Present Address

Division

Post Office

Upazila/P.S.

Permanent address

Division

Post Office

Upazila/P.S.

Academic Qualification

Examination

Roll Number

Group/ Major

Board

Result

Passing Year

Examination

Roll Number

Group/ Major

Board

Result

Passing Year

Examination

Roll Number

Group/ Major

Board

Result

Passing Year

Declaration

I do hereby certify that the information provided in this application is complete and true. I understand that the University has the right to reject this application or cancel my admission if any information provided herein is found false or incorrect. If my application is accepted for admission to the program applied for, I undertake to abide by all the rules and regulations of this University and ensure to pay all fees & charges duly.

UNIVERSITY OF SCIENCE & TECHNOLOGY CHITTAGONG

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