CIU – Certificate Course in Bangla for Foreigners (CCBF) Admission Form

1. Personal Information

Name of the Applicant:*

Present Address:*

Permanent Address:*

Occupation:*

Currently Attached with:*

Mobile No.:*

Telephone No.:

NID/ Birth Certificate/ Passport no.:*

E-mail:*

Sex:*

Date of Birth:*

Blood Group:*

Father's Name:*

Mother's Name:*

Spouse’s Name (If Married):

Applied Semester:*

Applied Year:*

2. Career History

Date Employed:

Company:

Position Held:

3. Emergency Contact Person’s Details

Name:*

Relationship with the student:*

Present Address:*

E-mail:

Telephone No.:

Mobile No.:*

4. Student Agreement

If admitted! agree:

Not to seek any unfair advantage over other students, including but not limited to giving or receiving unauthorized aid during completion of academic requirements.
Not to adopt or encourage adopting any unfair means in pursuance of any part of academic requirements.
To truthfully represent fact and self at all times.
To respect the property and personal rights of all members of the CIU community.
To abide by the code of conduct of the university.

I certify that all statements here and in the application for admission to the CIU are correct. I agree that all documents submitted in support of the application become the property of Chittagong Independent University (CIU). I authorize the University to release information from my application and supporting documents to authorities and organizations providing financial assistance / fellowship to permit me being considered for such support.

Attachments (.jpg, .jpeg, .png and file size must be below 1MB)

Recent Passport Size Photograph:*

Passport Copy (1st Page):*

Signature of Applicant:*

	By ticking here I am ensuring that, all information I have submitted here are real and I agree to the Terms & Conditions, Refund Policy and Privacy Policy
	I do hereby declare that all the information given above is true to the best of my knowledge and belief. I accept that CIU reserves the right to restrict my admission or cancel my registration at any time if any of the information given by me on this form is found to be false or incorrect.

Chittagong Independent University (CIU)

Certificate Course in Bengali for Foreigners(CCBF)

Admission Form

Check Seat Availability

1. Personal Information

2. Career History

3. Emergency Contact Person’s Details

4. Student Agreement

Attachments (.jpg, .jpeg, .png and file size must be below 1MB)