Bangabandhu Sheikh Mujibur Rahman Maritime University, Bangladesh (BSMRMU)

Office of the Controller of Examinations

Application for

 Provisional Certificate  Original Certificate  Transcript  Grade Certificate  Mark Certificate

 Duplicate/Triplicate Transcript  Duplicate/Triplicate Grade Certificate

 Duplicate/Triplicate Mark Certificate  Duplicate/Triplicate Provisional Certificate

 Duplicate/Triplicate Original Certificate  Corrected Marks Certificate  Corrected Grade Certificate

 Corrected Transcript  Corrected Provisional Certificate  Corrected Original Certificate
(Tick one only in each case)

  1. Applicant’s Name

a) In Bangla: ______

b) In English (Capital Letter): ______

  1. Mother’s Name: ______
  2. Father’s Name: ______
  3. Date of Birth: ______
  4. a) Name of the Examination: ______

b)Year of Passing: ______

c)Held in: ______

  1. Name of the Faculty/ Academy/

Institute/ Department: ______

  1. Exam Roll No. (Final Year/Semester/Term) : ______
  2. Registration No & Session: ______Session: ______
  3. Result (Division/Class/CGPA): ______
  4. Major Subject:______
  5. Nationality: ______
  6. Permanent Address: ______

______

  1. Present Address: ______

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Signature & Seal of the Dean/ Head of the Academy/ Institute/Department
(with date) / Applicant’s Signature (with date)
Tel/Mobile:

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 Dean/ Head of the Academy/ Institute/Department.

3.One copy of recent PP size photograph and copy of Registration Card, Admit Card duly attested by the Dean/ Head of the Academy/ Institute/Department.

4.For each Transcript/ Mark/Grade/Provisional/Original/Duplicate/Triplicate/Corrected Certificate applicant will have to deposit Tk. 1000/- in favor of BSMRMU (If not paid earlier).

5.Duplicate/Triplicate Certificate (Transcript/ Mark Sheet/ Certificate):In case of Duplicate/ Triplicate Certificate (Transcript/Mark Sheet/Certificate) the following documents must be submitted along with the application:

a)Copy of GD (General Diary) in nearby Police Station.

b)Copy of advertisement in connection with the lost document (with detailed information) published in the daily newspaper.

c)Extra fee for Tk. 2000/- (Duplicate) / Tk. 3000/- (Triplicate)in each case in favor of BSMRMU.

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.

d)Extra fee for Tk. 1000/- in each case in favor of BSMRMU.

7.In case of improvement, previous original certificate (Transcript/Mark Sheet/Certificate) must be surrendered along with the application with extra fee for Tk. 1000/- in each case in favor of BSMRMU.

8.All original documents, copies of which are attached with the application form, must be shown at the time of receiving Transcript/ Mark/Grade/Provisional/Original/Duplicate/Triplicate/Corrected Certificate.

9.Mark/Grade/Provisional/Original/Duplicate/Triplicate/Corrected Certificate will be handed over to the Dean/ Head of the Academy/Institute/Department or to the applicant only
(if deemed urgent).

10. Fee for verification of documents (Transcript/ Mark Sheet/ Certificate) Tk. 1000/- in favor of BSMRMU (as and when needed).

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