Academic Transcript

Leading University

Form for Academic Transcript/Provisional Certificate/Original Certificate
1. Student's Name *

First Name Middle Name Last Name
2. Father's Name *

First Name Last Name
3. Mother's Name *

First Name Last Name
4. Student's ID *
5. Program
6. Department *
7. Completed Credits *
Ex:. Completed Credit/Total Credit (120/152)
8. Semester of Course Completion *
Ex:.Spring-2017/Summer-2017/Fall-2017
9. Year
10. CGPA *
Ex:. 3.50 out of 4.00
11. Major
12. Contact *
Signature of the Student with date:
1. Signature of Deputy Registrar (Admission)
Certified that the above mentioned information (1-6) are true
2. Signature of Section Officer(Exams)
Certified that the above mentioned information (7-10) are true
3. Signature of Librarian
Certified that the concerned student has no unreturned book of Library or any dues
4. Signature of the Departmental Head
Certified that the concerned student is not under any obligation of the department
5. Signature of Director, Finance & Accounts
Certified that the concerned student has no outstanding dues with the university
6. Signature of the Controller of Exams
Certifiy:Student does't posses university property that disqualifies him/her to receive transcript
7. Signature of the Recipient Student with date
Received the transcript without any sign of alteration, tamper or erasure
1. Students should submit this form to Controller of Examinations after receiving all clearence.

2. Print individual copy for Transcript & Certificate.

3. Money receipt of Tk. 1000 (for Transcript) should be attached with this form.

4. Enclose attested copies of SSC & HSC/equivalent certificates for undergraduate programs and copy of Degree(Pass/Hons) passed certificate for graduate programs.

5. Money receipt of Tk. 1500 (for Provisional Certificate) should be attached with this form.

6. The provisional certificate must be surrendered at the time of receiving the original certificate.
Should be Empty:

Leading University