Dhaka University of Engineering & Technology, Gazipur

Application FORM for TRANSCRIPT

To
The Controller of Examinations Serial No.:.................................................
Dhaka University of Engineering
& Technology, Gazipur Transcript No.:..........................................

Sir,
May I request the permission to issue my TRANSCRIPT of. Ph. D/M Sc. Engg./M Engg./M Phil./M Sc./
B Sc. Engg./ B Arch.
Necessary Particulars are Given Below:

1. Name (IN BLOCK LETTERS):

a) English: .................................................................................................................
(As per S.S.C. certificate)
b) Bengali: .................................................................................................................
(As per S.S.C. certificate)

2. Student No.: ....................................................... 3. Mobile No.: .......................................

4. Registration No.: .............................................. 5. Session: .............................................
6. Date of Birth: ..................................................................................................................
7. Name of the Department: ...............................................................................................
8. Name of Degree Award: ................................................................................................
9. Session Attended: From ...................................................... to .....................................
10. Date of Completion of the Degree: ................................................................
11. Total Number of Credits Earned: ...................................................................................
12. Cumulative Grade Point Average (CGPA): ...................................................................
Yours faithfully,

Date: ............................................ Signature of the Student with Full Name

Enclosed :
i) Bank Receipt: Tk. ..................................
ii) Attested Copy of Provisional Certificate.

NB: Transcript will not be issued without identification.

Taka = 200 (Taka Two Hundred Only) for Transcript of Post/Under Graduate Degree.