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APPLICATION FOR EMPLOYMENT
ActionAid aims to attract and promote a workforce diverse in skills and capabilities.
(Please do not change font style or size)
Ive got to know
about the
vacancy from
(put tick mark, or, if
options do not match,
write other source in
the next cell)
ActionAid website
ActionAids facebook account
Bdjobs.com
Newspaper
Prothomalojobs.com
!ord of mouth
Contact points
"ellphone
number
#andphone
number
Alternative contact $mail address
Present address Permanent address

Personal details
%athers name &others name
&arital status Name of
spouse
'ccupation of
spouse
Number of
children
(ate of birth Blood group
)e* Nationality
National I(
number
Passport
number
Are you physically or psychologically
challenged+
If yes, please share details.
Academic inormation
Please give details in chorological order. We need exact name of institution(s) and title of
degree(s)certi!cate(s). "ou do not need to mention primarysecondary school(s) if you have university
degree or e#uivalent. $ows can %e added if necessary.
(egree-"erti.cate

/rade-(ivision
Passing
year
Name of institution
Employment record
(&his is reverse'chronological section. Please start with present or most recent position.
Present or most recent !o" detail
Name of
organisation
"ontact number
Address
Position held &onthly )alary
Page # of $
I am applying for
the post of

&y name is
0e*cluding
other bene.ts1
#ength of service month0s1 2
year0s1
%ro
m
3o
(a)or responsi%ilities
4eason for
leaving
Notice period
re5uired
Pre%ious !o" details &i any'
&he reverse'chronological section continues. Please feel free to add additional rows if you re#uire.)
)l
.
Names 0and addresses1 of the
organisations I worked for
Position0s1 held there
3enure
%rom 3o
6
(a)or responsi%ilities*

7
(a)or responsi%ilities*

8
(a)or responsi%ilities*

Theses ( Pu"lications &i any'

(Please mention the theses andor pu%lications that are 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 0journal, newspaper
etc.1
9ear
Training ( Proessional de%elopment &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 9ear
Language pro)ciency
(+or languages other than mother tongue, enter appropriate num%er from shown code to indicate level of
pro!ciency.)
&other tongue
Bangla )econd language
"'($ # * #imited conversation,
newspaper reading, routine
correspondence. + * $ngage freely in
discussion, read 2 write more
advanced materials. , * )peak, read
2 write almost as :uently as mother
tongue. $ * I use the language the
#anguages 4ead !rite )peak
Computer pro)ciency
(Please use tick ; mark to share expertise in these software , tools and also
tell us how you are so.)
I am what I am,
because I
Page + of $
profession
al
con.dent average
beginner took
courses
self
taught<
&icrosoft !ord
&icrosoft $*cel
&icrosoft
PowerPoint
&icrosoft Access
&icrosoft 'utlook
Internet
Intranet 2 data
mgt.
Reerences
(-f applica%le, one referee must %e your present supervisor. We.ll treat references con!dentially ,
communicate only in !nal stage.)
4eference 6 4eference 7 4eference 8
Name
(esignation
'rganisation
"ontact number
$mail
4elationship
Other inormation
If you have any relative
working in ActionAid
Bangladesh 0AAB1, please
share the following
information
Name
(esignatio
n
4elation
If you have any e*perience
of working with AAB, please
share the following
information
(esignatio
n
#ength
)upervisor
If you ever applied for a
position in AAB, please
share some details.
Position
9ear
If you have any criminal
record-conviction, please
specify
Accusation
9ear
Additional inormation
(Please write within /00 words showing how you meet the re#uirements detailed in the role pro!le. We
encourage you to provide evidence of your claims in %ullets if possi%le. Please also specify relevant
knowledge , skills you possess. Write in 1ali%ri 22 pts.)
Page , of $
I con.rm that the information given on this form is, to the best of my knowledge, true
and complete. Any false statement may be su=cient cause for rejection or, if
employed, dismissal.
)ignature >
(ate >
(-f you are applying through email, we will re#uire you to sign printed copy of this form upon meeting for
interview.)
Page $ of $