Northern University Bangladesh: Application Form
Northern University Bangladesh: Application Form
APPLICATION FORM-2014
(Teachers/Officers)
DEPARTMENT:
Photo
POST APPLIED:
SUBJECT:
A. PERSONAL DETAILS:
Full Name
(Please record your name based
on your SSC/equiv. Certificate)
English:
Bengali:
Fathers Name
Mothers Name
Husbands Name
Occupation:
Occupation:
Occupation:
(Where applicable)
Month:
Year:
National ID No:
Marital Status:
Married
Single
Sex:
Male
Female
Nationality:
Blood Group:
Present Address
Tel:
Mobile:
Tel:
Mobile:
Fax:
E-mail:
Fax:
E-mail:
School/College
/University
Duration
From
To
Performance
Class/ Position
Division /Place
Year of
passing
Specialization
SSC/Equv:
HSC/Equv:
Bachelor
Master
M.Phil
Ph.D
Please enclose the certified copies of your all academic records (i.e. Certificate/Mark-Sheet/Transcript etc).
Field/Course (s)
Attended
Degree/Diploma
obtained
Grade/
Class
Institution/Organization
Duration
Gross Salary
(in Taka)
Institutions
Duration
Nature of Job
Publisher
Year of Publication
Number of
Pages
Journal/Edited books
Publisher
Pages
Field of Research
Pages
G. LANGUAGE PROFICIENCY:
Language
Writing
Reading
Speaking
Remarks
Write: Excellent, Good, Fair, Weak, Nil (as the case may be)
J. NAMES & ADDRESS OF 2 (TWO) REFEREES WHO ARE NOT YOUR RELATIVES:
(i)
(ii)
K. EXPECTED SALARY/REMUNERATION/HONORARIUM:
Tk. ------------------------- per month
L. Additional information: (if any that may related to the post applied for).
Date: ------------------------------
N.B:
1. 1 (one) copy of the application, certificates, testimonials, national ID and all related documents should be sent
to the Registrar within the stipulated period.
2. Incomplete Application Form may not be entertained.
3. The candidates from any Autonomous or Government Organization should apply through proper channel.
4. Please use additional sheets wherever necessary.