Independent University, Bangladesh
Financial Aid Office
Application for Financial Aid/ tuition fees discount
Recent
passport size
photograph
(one copy)
Please note:
Please provide all information in full. Students' academic performance will be reviewed at
the end of each semester for continuation of the waiver. Incomplete form may result in
denial.
Name of the student :
Student's ID :
Postal Address :
Telephone (Mobile and Land phone both) :
Date of birth :
E-mail :
Do you enjoy any other Tuition fees waiver/ Financial Aid offer by IUB?
Yes.
If Yes , please tick the following:
□ Based on pre University Result
□ Merit Scholarship (100%)
□ Top scorer at IUB Admission Test
□ Special case
□ Others (please specify)
From which semester and year:
Discount Percentage (%):
No.
Name of your sibling/spouse (if any student in IUB) :
ID :
Academic Performance:
□ SSC/O’ Level
□ HSC/A’ Level
□ Last completed semester at IUB
Signature of the applicant:
Year:
Year:
Total earned credits:
Result:
Result:
CGPA:
Date:
Financial Guarantor Information
Financial Guarantor's Name:
Address :
Occupation:
Telephone/cell number:
Relationship with the applicant :
□ Father
□ Mother
□ Spouse
□ Others (Please specify)
□ Employee
□ Self
No. of dependents for whom tuition is paid :
Financial Information:
•
•
Annual income
➢ Salary (per month)
➢ Business
➢ Agriculture
➢ Investments
➢ Others(Please specify)
Assets/ Property
□ Amount (Taka)
□ Amount(Taka)
Signature of the Financial guarantor
Date:
Please submit the following required documents for Financial aid/tuition
fees waiver:
Documents required for all Categories:
(a) TIN Certificate of financial guarantor.
(b) Financial guarantor’s last three months’ bank statement.
(c) Employee should submit Employer’s salary certificate from the employer.
(d) Businessmen will submit a photocopy of the business trade license.
(e) Latest academic transcript.
Documents required for Siblings category:
(f) Birth certificates of both applicants.
Documents required for Spouse category:
(g) Marriage certificate.
Documents required for Freedom Fighter’s Child category:
(h) Please Click here for the attached list.
Please Note:
• All papers should be duly attested.
• Show all original documents during the submission time.
Please provide two Reference names whom IUB can contact if needed :
□ Name:
□ Relation:
□ Contact No.:
□ Name:
□ Relation:
□ Contact No.:
Signature of the Unit Head
Date:
Signature of Financial Aid Officer
Date: