No.

_______________

NORTH SOUTH UNIVERSITY

Dhaka, Bangladesh. Fax : 8852016, Tel : 8852000, Ext.- 2020/2021
Email: [email protected]

APPLICATION FOR ADMISSION

MA IN ENGLISH
AREA OF SPECIALIZATION :
Literature Language & Linguistics TESOL (Teaching English to Speakers of Other Languages)

APPLICATION FOR ADMISSION ____________ Spring (Jan-Apr) Summer (May-Aug) Fall (Sep-Dec)

1. ______________________________________________________________
Last Name First Name Middle Name

Date of Birth ____ / ______ / _______ ____________________ __________________

Day Month Year Place of Birth Citizenship

Male Female Married Single Applicant’s

Photo
2 . MAILING ADDRESS :

_______________________________________ _______________________
House # / Holding # Street / Road Area / Village / P.S. / City

___________________________________________________ ______________________________
District / State Post Code Country

Telephone :
Home : Parent’s Work / Office : Other : .

Email : ______________________________________________

INSTRUCTIONS / INFORMATION FOR APPLICANTS

a. The application processing fee of Tk. 1000 (US $15.00 for overseas applicants) is non-refundable. The final decision regarding admission will be
based on the candidate’s academic background. The decision of the North South University (NSU) Admission Committee is final.
b. The complete application package will include (1) completed application form, (2) two attested passport size photos of the applicant, (3) certified
copies of certificates and transcripts (MA in relevant subjects/Bachelor degree with honors/4-year BA in English, HSC and SSC or equivalent
examinations).
c. Submit the complete application package to the Department of English, Plot 15, Block B, Bashundhara, Dhaka 1229, Bangladesh.
d. NSU is committed to the principles of equal opportunity and will be open to all students with required academic qualifications. There will be no
discrimination on the basis of race, sex, religion, nationality, social grouping, age, etc.

Do not write in this area

Acceptable __________________________________

Accepted conditionally __________________________

Not accepted __________________________________

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3. PERMANENT ADDRESS:

___________________________________________________ ________________________________
House # / Holding # Street / Road Area / Village / P.S. / City

___________________________________________________ ________________________________
District / State Post Code Country

Telephone: ______________________________________________________________________________________________________
Home : Work / Office : Other :
.

4. FATHER’S/HUSBAND’S NAME:

_______________________________________________________________________________________
Last Name First Name Middle Name

___________________________________________________ ________________________________
House # / Holding # Street / Road Area / Village / P.S. / City

___________________________________________________ ________________________________
District / State Post Code Country

Telephone : _________________________________________________________________________________________________________
Home : Office : Other

Fax: _______________________________________________ Email : _____________________________________________________

5. MOTHER’S NAME:

__________________________________________________________________________________________________________________
Last Name First Name Middle Name

6. List of undergraduate or graduate institutions you have attended. Give exact dates of attendance.
_________________________________________________________________________________________________________
College / University From (Year) To (Year) Degree Class / GPA

7. EXPERIENCE : (Professional, Business, Military etc.). Give details of your record since completion of HSC or equivalent
examinations.
______________________________________________________________________________________________________
Institution / Organization Position / Title Date
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8. Have you taken GRE, TOEFL or IELTS? Yes No

If yes, write your score below:

GRE scores : _____________________ Date __________________

TOEFL scores : _____________________ Date __________________

IELTS scores : _____________________ Date __________________

9. Are you a dependent? Yes No

Who will pay your tuition fees? Self Father/Husband

Mother Other
If Other, please specify:

Name : _______________________________________________________________________

Mailing Address: _______________________________________________________________

_____________________________________________________________________________

Telephone: ______________________ _____________________ ___________________

Home Office Mobile

Fax : _________________________________ Email : _____________________________

Relationship with sponsor: _______________________________________________________

10. Merit Scholarships, other Academic Honors and Awards :

11. Do you have a major handicap? Yes No

If Yes, describe briefly:

Instruction:

 Bring your own pens, pencils, sharpeners, erasers, etc.

and be seated on time
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12. Have you ever been dismissed, suspended or expelled from any school/college/university? Yes No
If yes, attach a statement giving details.

13. Were you admitted into any academic program of NSU before? Yes No

If yes, state ID# and date of admission: _________________________ ____________________

14. FINANCIAL DATA:

Indicate funds available for expenses during the period you wish to study at North South University.

a. Estimated total amount in Taka that will be available each year ________________________________________________

b. Source of finance ________________________________________________________________________ __________

15. I hereby state that if admitted to North South University, I will be bound by the rules and regulations and all laws
adopted by the Board of Governors, the Administration, and the Faculty of NSU.

I agree that withholding information requested in this application or giving false information will make me ineligible for
admission to NSU and liable for dismissal if admitted. I hereby certify that the above statements are correct and
complete.

_________________________ ______________________________________
Date Signature

NO : __________________________

APPLICANT’S RECEIPT

NAME : _______________________________________________________________________
Applicant’s
ADDRESS : ____________________________________________________________________ Photo

___________________________________________________________________
___________________________________________________________________

PHONE : ________________________________________