RSTU Form No.

COURSE REGISTRATION FORM

Summer 2017
(Regular/Evening Shift)
Name: ID No.:
Phone#
Address:
Major:
Degree: B.Sc. Dept.: Batch:

1. List of Courses
1a. Courses Offered by the Adviser 1b. Courses Taken by the Student
Code Course Title Credit Code Course Title Credit

Total Total

2. For Accounts Office Use Only

2a. Assessment of Fees (Tk.) 2b. Payment

Admission Fee:
Financial Privilage: __________

Tuition Fee Per Credit Reg.:

Amount Paid (Tk.): __________

Library Deposit:
Money Receipt No.: __________
Other Charges (Lab Fee, Student
Activity Fee, Misc.): Received By: _________________________

TOTAL
2c. Payment Schedule

Arrear/Advance:
2nd installment by _________________________, Tk. __________

Late Fee (if applicable):

3rd installment by _________________________, Tk. __________

GRAND TOTAL

Student's Signature: _________________________

Remarks:

Confirmation: Recommending Attesting Approval

Approval Partial Full Payment

Student's Adviser's Accounts Officer's Registrar's Signature

Signature Signature Signature