APPLICATION

FOR

EMPLOYMENT

ActionAid aims to attract and promote a workforce diverse in skills and capabilities. (Please do not change font style or font size when you fill out the form) Position Applying for Name Ive got to know about the vacancy from
(put tick mark, or, if options do not match, write other source in the next cell)

Attach your recent photograph ActionAid website ActionAids facebook account Bdjobs.com Newspaper Prothom alojobs.com !ord of mouth

Contact Points "ell phone number Alternative contact Present address

#and phone number $ mail address Permanent address

Personal Details %athers name &arital status 'ccupation of spouse (ate of birth )e* National I( number Are you physically or psychologically challenged+ If yes, please share details. Acade ic In!or ation

&others name Name of spouse Number of children Blood group Nationality Passport number

Please give details in chorological order. We need exact name of institution(s) and title of degree(s) certificate(s). !ou do not need to mention primary secondary school(s) if you have university degree or e"uivalent. #ows can $e added if necessary.

(egree-"ertificate

.rade-(ivision

Passing year

Name of institution

E ploy ent Record

(%his is reverse&chronological section. Please start with present or most recent position.

Present or ost recent "o# detail Name of organisation Address Position held #ength of service 'a(or responsi$ilities 1ears /s0 2 /s0 &onths

"ontact number &onthly )alary

/e*clude other benefits0

%ro m

3o

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4eason for leaving Pre&ious "o# details 'i! any(

Notice period re5uired

%he reverse&chronological section continues. Please feel free to add more pages if you re"uire.)

)l . 7

Names /and addresses0 of the organi6ations you worked for

Position/s0 you held there

3enure %rom 3o

'a(or responsi$ilities) 8 'a(or responsi$ilities) 9 'a(or responsi$ilities) Theses ) Pu#lications 'i! any(
(Please mention the theses pu$lications that you think most important and relevant to the position you are applying for. !ou are welcome to add additional rows if re"uired.) 3itle of theses -publications Published in /state journal, newspaper 1ear etc.0

Training ) Pro!essional De&elop ent 'I! any(

(Please cite examples which are most important and relevant to the position you are applying for. !ou are welcome to add additional rows if re"uired.)

3raining-!orkshop-)eminar

Institution

3enure

1ear

Language Pro!iciency
(*or languages other than mother tongue, enter appropriate num$er from shown code to indicate level of proficiency.)

)econd language &other tongue "'($ $ * #imited conversation, newspaper #anguages 4ead reading, routine correspondence. + * $ngage freely in discussion, read 2 write more advanced materials. , * )peak, read 2 write almost as fluently as mother tongue. % * I use the language the way a native speaker does. Co puter Pro!iciency
(Please use tick : mark to share expertise in these software + tools and also tell us how you are so.)

!rite

)peak

profession

confident

average

beginner

I am what I am, because I took self taught;

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al &icrosoft !ord &icrosoft $*cel &icrosoft PowerPoint &icrosoft Access &icrosoft 'utlook Internet Intranet 2 data mgt. Re!erences

courses

(,f applica$le, one referee must $e your present supervisor. We-ll treat references confidentially + communicate only in final stage.)

4eference 7 Name (esignation 'rgani6ation "ontact number $ mail 4elationship Other Details If you have any relative working in ActionAid Bangladesh /AAB0, please share the following information If you have any e*perience of working with AAB, please share the following information If you ever applied for a position in AAB, please share some details. If you have any criminal record-conviction, please specify Additional In!or ation Name (esignation 4elation (esignation #ength )upervisor Position 1ear Accusation 1ear

4eference 8

4eference 9

(Please write within .// words showing how you meet the re"uirements detailed in the role profile. We encourage you to provide evidence of your claims in $ullets if possi$le. Please also specify relevant knowledge + skills you possess. Write in 0ali$ri 11 pts.)

I confirm that the information given on this form is, to the best of my knowledge, true and complete. Any false statement may be sufficient cause for rejection or, if employed, dismissal.

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)ignature< (ate <

(,f you are applying through email, we will re"uire you to sign printed copy of this form upon meeting for interview.)

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