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BANGLADESH ARMY UNIVERSITY OF

SCIENCE AND TECHNOLOGY (BAUST)

Passport size

(Application Form for Teaching Positions)


Post

Department/
Subject

Photo

Location of University

1. Name:
______________________________________________________________
2. Name in
Bangla:______________________________________________________
3. Fathers/Husbands Name:
_____________________________________________
4. Mothers Name:
______________________________________________________
5. Date of Birth: __________________ Place:
________________________________
6. Age: (on circular end date): _____Years ______Months _______Days
7. Blood Group: ________
8. Identification Mark:
___________________________________________________
9. Religion: ________________
10.Nationality: _______________________
11.National ID no.: _____________________________
12.Passport (if any):
a. Number: ____________________________
b. Category (Individual/Gratis/Diplomatic):
______________________
c. Issuing _____________ Place _________ Date _________
Authority
d. Reason for taking Passport:
_________________________________
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13. Countries Travelled:


______________________________________________
_______________________________________________________________
14.Language Efficiency
a. Bangla
Speaking
Writing
b. English
Speaking
Writing
c. Arabic
Speaking
Writing
d. Hindi/Urdu
Speaking
Writing
e.
15.Marital Status: (married/ unmarried):
_______________________________

Reading
Reading
Reading
Reading

16. Present Address: ________________________________________________


______________________________________________________________
17. Permanent Address (if not same as above):
__________________________
______________________________________________________________
______________________________________________________________
18.Mailing Address (if not same as above):
_____________________________
______________________________________________________________
______________________________________________________________
19.Contact no. ________________ email: _____________________________
20.Present Occupation/Position ____________ Date of Appointment:
_______
21.Present Pay Scale: ____________ Basic:__________ Grade (if govt): ___
22.If Pensioner: Monthly Pension:______________
Organization:___________
23.Academic Qualification (latest first):
Name of the
Institution

Duration
Year
Fro
To
m

Class/ Merit
Degree/
Divisi Positi
Examinat
on/CG on (if
ion
PA
any)
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Year
of
Pass
ed

24.Names of Teachers/ Supervisors under whom studied for higher


degrees:
a. _______________________________________________________
b. _______________________________________________________
c. _______________________________________________________
25. Experiences (latest first):
Position

Organization

Duration
From
To

Year

26.Membership/Fellowship
a. _______________________________________________________
b. _______________________________________________________
c. _______________________________________________________
27.Professional Awards/ Honours received:
a. _______________________________________________________
b. _______________________________________________________
c. _______________________________________________________
28.Professional work at National and International Levels:
a. _______________________________________________________
b. _______________________________________________________
c. _______________________________________________________
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29.Participation in National Commission, Committees, etc.


Commissioned by the Government of Bangladesh and Government
Institution/Organizations:
a. _______________________________________________________
b. _______________________________________________________
c. _______________________________________________________
30.Teaching Activities undertaken (if any):
Cours
Duration
Level No. of
es
Hrs
Institution
(UG/PG Studen
Fro
Taugh
/wk
To
)
ts
m
t

31.Supervision of Thesis/Design Project at Undergraduate/


Postgraduate Level:
No. of
Level No. of Duration
Project
Institution
(UG/PG Studen
Thes Desi
Fro
)
ts
To
is
gn
m

32.Supervision of Completed Graduate Research Work:


Level
(Masters/PhD/Post
Doc)

Thesis Title

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Year of
Completion

33.Research Grants Received:


Organization
offered the
grant

Project title

Granted
amount
(equivalent
Tk)

Duration
From

To

34.List of publications (Journal/Conference Proceedings/Presentation).


List them by mentioning authors, title of the paper,
Journal/Conference presented at year, volume, number, issue
number, pages, etc.
a. Journal Publication (recent to past) attached pages if required:

b. Conference Proceedings (recent to past) attached pages if


required:

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c. Presentation (recent to past) attached pages if required:

d. Books/ Books Chapters (recent to past) attached pages if


required:

e. Research monographs, monographs, patents and other works


completed and contributions in standard published books
(recent to past) attached pages if required:

f. Others (if any):

35.Contribution to the Department other than teaching and research


already stated before:
a. Curriculum Improvement:
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b. Laboratory Development:
c. Production of Teaching Aids:
d. Staff development:
e. Others:
36.Contribution to the University Administration:
a. Activities Assigned by Universities Authorities in addition to
own duties (Mention period and nature of the duty):

b. Hall Administration (mention period including position held):

c. Chairman or Member of Committees formed by University


Authority, Syndicate, Academic Council, Finance Committee,
Committee for Advance Studies & Research, Boards of Studies,
etc. (mention period, name of the committee, etc)

37.Name and Address of 03(three) References who will certify about


the applicants achievements, career, personality, character, etc,
but are not blood relation to the application:
a. _______________________________________________________
_______________________________________________________
b. _______________________________________________________
_______________________________________________________
c. _______________________________________________________
_______________________________________________________
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38.Any time from any position dismissed or demoted? If yes, mention


the organization and reason for it:

39.Any other activities to be considered worthwhile for this


appointment:

I certify that the information stated above is correct.

(Applicants Signature)

COMMENT BY THE HEAD OF THE DEPARTMENT IF ANY

To be provided separately in a sealed envelope along with this


form.

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