UNIVERSITY OF ASIA PACIFIC

74/A, Green Road, Dhaka-1215, Bangladesh. PABX: +8802-58157091-4,

+8802-58157096 E-mail: registrar@uap-bd.edu

Position applied for: ___________________________________________________________________

Department: __________________________________________________________________________

Name: _______________________________________________________________________________

Father’s name: ________________________________________________________________________

Mother’s name: _______________________________________________________________________

Mailing Address Permanent Address

Home phone: ___________________ Work phone: ____________________ Mobile: ________________

E-mail:__________________________ Website/personal blog: _________________________________

Marital status: ____________________ Number of children: _________Religion:__________________

Date of birth: _____________________ Place of birth: _______________________________________

Nationality: ________________________ Citizenship: ________________________________________

1
 Academic qualifications*:

Marks
Result Position with
Year of obtained
Degree Board/University Group/Major (class/division/ distinction (if
passing (if
grade/GPA) any)
applicable)

SSC

HSC

Bachelors

Masters

M.Phil

Ph.D

Others

Others

* N.B: Copies of all academic documents must be attached. Otherwise application will not be
considered.

Professional qualifications/affiliations/memberships; please attach separate pages if necessary:

Computer/IT literacy:

2
Professional experience (if any); please attach separate pages if necessary**:

1.

a. Name of the employer:

b. Address of the employer:

c. Designation/position held:

d. Service period:

e. Major responsibilities:

2.

a. Name of the employer:

b. Address of the employer:

c. Designation/position held:

d. Service period:

e. Major responsibilities

3.

a. Name of the employer:

b. Address of the employer:

c. Designation/position held:

d. Service period:

e. Major responsibilities:

** N.B.: Documents of experiences must be attached here.

3
Research publications (if any); please attach separate pages if necessary***:

1.

2.

3.

4.

5.

***All information mentioned above must be backed by document. If not, then application will not be
considered.

References:

1. 2.

I hereby declare that the details furnished above are true.

Signature with date: