NORTHERN UNIVERSITY OF BUSINESS & TECHNOLOGY KHULNA
41-42 Shib Bari Circle, Sonadanga, Khulna-9100
APPLICATION FORM-2025 Photo
DEPARTMENT: POST APPLIED:
A. PERSONAL DETAILS:
Full Name English:
(Please record your name based
on your SSC/equiv. Certificate) Bengali:
Father’s Name Occupation:
Mother’s Name Occupation:
Husband’s Name Occupation:
(Where applicable)
Date of Birth: Day Month: Year: Marital Status: Single Married
Religion:
Sex: Male Female
National ID No:
Nationality: Passport No. (if any): Blood Group:
Present Address Permanent Address (if different)
Tel: Mobile: Tel: Mobile:
Fax: E-mail: Fax: E-mail:
B. ACADEMIC BACKGROUND: (Mention in chronological order):
Duration Performance
Name of School/College Class/ Year of Subjects
Position
Examinations /University From To Division passing Studied
/Place
/CGPA
SSC/Equv:
HSC/Equv:
Bachelor
Master
M.Phil
Ph.D
Please enclose the certified copies of your all academic records (i.e. Certificate/Mark-Sheet/Transcript etc).
1
C. PROFESSIONAL DEGREE/DIPLOMA/TRAINING: (if applicable)
Name of awarding Field/Course (s) Degree/Diploma Grade/
Institution/Organization Attended obtained Class
D. EMPLOYMENT RELATED RECORDS
D.1. Positions held (in chronological order)
Position Institution/Organization Duration Gross Salary
(in Taka Per Month)
D.2. Administrative Positions held (if any)
Positions Institutions Duration Nature of Job
E. LANGUAGE PROFICIENCY:
Language Writing Reading Speaking Remarks
Write: Excellent, Good, Fair, Weak, Nil (as the case may be)
F. NAMES & ADDRESSES OF 2 (TWO) REFEREES WHO ARE NOT YOUR RELATIVES:
(i) (ii)
G. EXPECTED SALARY/REMUNERATION/HONORARIUM:
Tk. ------------------------- per month
Signature of the Candidate
Date: ------------------------------
N.B:
1. 1 (one) copy of the application, certificates, testimonials, national ID and all related documents should be sent
to the Registrar within the stipulated period.
2. Incomplete Application Form may not be entertained.
3. The candidates from any Autonomous or Government Organization should apply through proper channel.
4. Please use additional sheets wherever necessary.
