Bangladesh University of Professionals (BUP)
Mirpur Cantonment, Dhaka-1216, Bangladesh One copy PP
size
photograph
Attested by
the Head of
the
Application for Institute/Dept.
/Dean
Provisional Certificate Original Certificate Mark Certificate Grade Certificate
Duplicate/Triplicate Marks Certificate Duplicate/Triplicate Grade Certificate
Duplicate/Triplicate Provisional Certificate Duplicate/Triplicate Original Certificate
Corrected Marks Certificate Corrected Grade Certificate Corrected Provisional Certificate
Corrected Original Certificate
1. Applicant’s Name
a) In Bangla : _____________________________________________
b) In English (Capital Letter) : _____________________________________________
2. Father’s Name : _____________________________________________
3. Mother’s Name : _____________________________________________
4. Date of Birth : _____________________________________________
5. a) Name of the Examination : _____________________________________________
b) Year of Passing : _____________________________________________
c) Held in : _____________________________________________
6. Name of the College/Institute/
Academy/Faculty : _____________________________________________
7. Exam Roll No. (Final Year/Semester/Term) : _____________________________________________
8. Class ID : _____________________________________________
9. Registration No & Session : __________________ Session: ____________________
10. Result (Division/Class/CGPA) : _____________________________________________
11. Concentration in (Maj Subj) : _____________________________________________
12. Nationality : _____________________________________________
13. Permanent Address : _____________________________________________
_______________________________________________________________________________
14. Present Address : _____________________________________________
_______________________________________________________________________________
15. Telephone/Mobile No : _____________________________________________
Signature & Seal of the Head of the Applicant’s Signature
Institute/Department/Dean
P.T.O
Application Procedure
1. Applicant will fill up the form by himself/herself. Any incomplete application will not be
considered.
2. Application will be duly recommended by the Head of the Institute/Department/Dean.
3. One copy of recent PP size photograph, copy of Registration Card, Admit Card duly
attested by the Head of the Institute/Department/Dean to be attached with the
application. A copy of SSC/Equivalent certificate to be attached also.
4. a) For each Mark/Grade/Provisional/Duplicate/Triplicate/Corrected Certificate applicant
will have to deposit Tk. 500/- in favour of BUP General Fund (No-00280320000091), BUP,
Mirpur Cantonment, Dhaka in Trust Bank Ltd. Mirpur Branch, Dhaka.
b) Original Certificate Fee Tk- 1000/- only.
5. Duplicate/Triplicate Certificate (Mark Sheet or Certificate): In case of Duplicate/
Triplicate Certificate (Mark Sheet or Certificate) the following documents must be
submitted along with the application:
a) Copy of GD (General Diary);
b) Copy of advertisement in connection with the lost document published in the daily
newspaper.
6. Major Correction: Following documents to be submitted along with the application:
a) Affidavit copy of class one Notary Public;
b) Copy of advertisement published in the daily newspaper;
c) Copy of SSC and HSC Certificate duly attested.
7. In case of improvement, previous original certificate (Mark Sheet/Certificate) must be
submitted along with the application.
8. All original documents, copies of which are attached with the application form, must be
shown at the time of receiving Mark/Grade/Provisional/Original/Duplicate/Triplicate/
Corrected Certificate.
9. Mark/Grade/Provisional/Original/Duplicate/Triplicate/Corrected Certificate will not be
handed over to anyone other than the applicant/authorized representative.
10. For Original Certificate ‘Provisional Certificate (Original Copy)’ to be submitted with this
application.
_________________________
