[Link].
in Health Technology (Radiology and Imaging)
University of Dhaka
The application will be rejected, if it is not duly filled in and signed by the candidate and
certified by the principal and Teacher/Teachers concerned.
[Link]. in Health Technology (Radiology and Imaging) Part-I Examination of July
2024
Class Roll Dhaka University
35
No Student's Registration No.
Application 5558
2023-
Session
2024 Session : 2023-2024
To. The Controller of Examinations
University of Dhaka, Dhaka-1000.
Sir,
I request permission to present myself at the ensuing Part- I [Link]. in Health
Technology (Radiology and Imaging) Examination of the University of Dhaka.
I agree that in any matter arising out of my candidature at this Examination, I
will accept the decision of the Syndicate of any officer authorised by them to deal
with the matter as final.
I am
Sir
Yours obediently
Dated, the 18-08-2025
Signature of the examinee in full
Local Address: Sharif Mohammad
Hall,IHT Dhaka, Mohakhali 1212
Mobile no: 01716653196
CERTIFICATES
The candidate was first admitted to the First year class of the Course in the year 2024 in
Institute of Health Technology
I certify that the above-named candidate has fulfilled the requirements of the [Link].
in Health Technology (Radiology and Imaging) Part-I Examination of July 2024
Examination of the University of Dhaka and that he/she has got the required numbers of
[Link] 18/8/25, 1 18 AM
Page 1 of 4
:
percentage of attendace and that I Know nothing against his/her moral character. The
statements made above are true to the best of my knowledge and belief.
I further certify that since his/her failure at the last examination in the
subject/subjects, the candidate received my satisfaction, further instruction in the
subject/subjects in which he/she failed. A brief summary of his/her results at the last
examination is noted below:-
Appeared at the last _ _ _ _ _ _
Examination bearing Roll No _ _ _ _ _ _
held in the month of _ _ _ _ _ _ _ _ _ _ _ _ _
_
and failed in:
.........................................................
Dated, the 18-08-2025
Signature of the Principal with date
Office Seal of the Principal
[Link] 18/8/25, 1 18 AM
Page 2 of 4
:
(2)
PARTICULARS TO BE FILLED IN BY THE EXAMINEE
1. Full name of the Examinee in Bengali : !মা: নুরাইন !হােসন খান
2. Full Name of the Examinee in English : Md. Nurain Hossain Khan
3. Father's Name : Md. Mosarraf Hossain Khan
4. Mother's Name : Nasima Begum
Permanent Address : 337,Ananda para,Galachipa Post Office:
5.
Pourashava Galachipa
Police Station: Galachipa Upa Zilla: District:
Thana Galachipa Patuakhali
6. Date of Birth : 2004-01-05
7. Age : 21
8. Nationality: Bangladeshi Religion: Islam Caste/Sect:
Session: 2023-
10. Scholarship of Stipend, If any, enjoyed: TK
2024
11. Monthly income of the parents/guardian: TK 30k per month
The medium of language in which the candidate will answer the questions:
12.
English
Whether debarred from appearing at the University Examination, if so
State the punishment given: _ _ _ _ _ _ _ _ . Examination held in the
13.
month of _ _ _ _ _ _ _ _ _ _ _ , _ _ _ _ _ _ _ bearing Roll No _ _ _ _ _ _ _
_ and punishment given _ _ _ _ _ _ _ _ _ _ _
14. Name of the Subject / Subjects appearing at:
1 C-101 Behavioral Science and Radiological Ethics 2 C-102 Radiology and Imaging Physics
3 C-103 Fundamental of Computer and It's Applications 4 C-104 Radiological Anatomy
5 C-105 Radiological Physiology
Dated, the 18-08-2025
Signature of the Candidate in full
N B: 1. All the entries must be filled in by the Examinee himself/herself and checked up by the Office of the Principal
[Link] 18/8/25, 1 18 AM
Page 3 of 4
:
which will be treated as final.
2. Any erase or cut on any entry will not be allowed.
[Link] 18/8/25, 1 18 AM
Page 4 of 4
: