Scribd
Upload
12 views2 pages

Loan Application Form

This document is an application form for undergraduate students to request a soft loan for purchasing devices necessary for online exams. Students must fill out the form, convert it to PDF, and email it to the Hall Provost while keeping copies to other relevant authorities. The application includes personal details, device preferences, and a declaration of understanding regarding loan repayment conditions.

Uploaded by

mehedi.hkanon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
12 views2 pages

Loan Application Form

This document is an application form for undergraduate students to request a soft loan for purchasing devices necessary for online exams. Students must fill out the form, convert it to PDF, and email it to the Hall Provost while keeping copies to other relevant authorities. The application includes personal details, device preferences, and a declaration of understanding regarding loan repayment conditions.

Uploaded by

mehedi.hkanon
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 2

Application for Soft Loan for Device (for undergraduate students)

Please fill up this form, convert it to PDF, and email the PDF to your Hall Provost, keep a C.C. to
Assistant Provost (Union) and to farzad1991.buet@gmail.com (Admin Officer, DSW Office).
After sending the email, you may contact with the Hall Office Staff to know whether your
application is received properly or not.

1. Name of Student:
2. Student ID :
3. Name of Department:
4. Name of the Advisor and Phone Number:
5. Hall of Residence with Room No.:
6. Mobile Phone No. of the Student:
7. Father’s name:
8. Mother’s name:
9. Mobile Phone Nos. of the Parent(s):
10. Permanent Address:
11. Current Address:

12. Type of device willing to purchase:


Approximate price and purchase options can be found online in different websites, for example:
https://www.globalbrand.com.bd/ https://www.startech.com.bd/ https://www.smartbd.com/
During the exam, you will need one device for attending the online exam (MS Teams Or Zoom+Moodle). This device
must have a built-in camera, or a webcam has to be attached. This device can be a desktop, a laptop, a smartphone,
etc. Another device (for example, a smartphone) is required to scan the answer sheet.
Serial Device Type (loan limit 30,000 Taka) Approximate Price Tick mark the
No. with VAT/Tax (Taka) preference
1 Laptop with Microphone & Headphone
2 Desktop with Webcam, Microphone & Headphone
3 Webcam for desktop
4 Smartphone with Microphone & Headphone
5 UPS or power pack/bank
6 Pocket router or modem
Total Loan Amount in BDT:
13. Internet Bandwidth
Serial Bandwidth Support Type Tick mark the
No. preference
1 GP SIM – data package (ignore this if you already have got GP SIM from BUET)
2 Teletalk SIM- data package (ignore this if you already have got SIM from BUET)
3 500 Taka bandwidth grant per month (ignore this if you are already having 500
Taka monthly bandwidth grant)

Signature of Student with date


14. Please provide the account details where you want to receive the loan.
Name of the Wallet Mobile No. corresponding to the wallet
(Bkash or Nagod)

OR
Sonali Bank BUET Branch Account Number

i. I hereby declare that I am willing to take the above-mentioned items from BUET for attending an
online academic program and exams.
ii. I understand that if I take the loan, the amount of loan to be repaid by me or my parents before I
graduate as per the instructions set by the university.
iii. It is my responsibility to submit the proof of purchase of the intended devices and inform the
concerned authority about the receipt of loan through the Bank/Wallet mentioned above.
iv. I also confirm that my parents have the full consent in receiving this loan under the condition
mentioned above to purchase the intended devices for pursuing online academic program.

Signature of Student with date

You might also like