KHULNA UNIVERSITY OF ENGINEERING & TECHNOLOGY

Khulna-9203
(Application Form for the Post of Lecturer/Assistant Professor)
1. Name (English) :

(Bengali) :

2. a) Father’s Name (English) :

(Bengali) :

b) Mother’s Name (English) :

(Bengali) :

3. Date of Birth :

4. Nationality :

5. NID Number :

6. Present/Mailing Address :
(With Mobile No. & Email Address)

7. Permanent Address :

8. Present Position :

9. Post Applied for :

10. Educational Qualifications (A candidate must not posses a Third Class/Division in Any
Examination)

Year Board/University Certificate/Degree Division/Class % of marks/CGPA

11. Service Records Non-Teaching if any (Starting from First Appointment)

Organization Post From To Y M D

Total:
12. Higher Studies (for internal candidates):

Position Held During Nature

From To Years Months Days
Higher Studies of Leave

Total
*1. Deputation, 2. Study Leave, 3. Leave without Pay, 4. Others.

13. Teaching Experience (if any) :

Post/Institution From To Years Months Days

Total

14. Publications in Journals/Proceedings (if any):

Year and Name of

Sl. Name of the Journal
Title of the Paper country of Author(s)*
No. with Vol. No. pp
Publication

15. Other Experiences (if any):

16. Name of 2 (Two) Referees (not related to the applicant):

(1) (2)

Date: Signature of the Applicant

Mobile Number-