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Attach your

recentphotograph

APPLICATIONFOREMPLOYMENTActionAid aims to attract and promote a workforce diverse in skills and capabilities.

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Ive got to knowabout thevacancy from

(put tick mark, or, ifoptions do not match,write other source inthe next cell)

ActionAid websiteActionAids facebook accountBdjobs.comNewspaperProthomalojobs.com!ord of mouth

Contact points

"ellphonenumber

#andphonenumber

Alternative contact $mail addressPresent address Permanent address

Personal details%athers name &others name&arital status Name of

spouse

'ccupation ofspouse

Number ofchildren

(ate of birth Blood group)e* NationalityNational I(number

Passportnumber

Are you physically or psychologicallychallenged+If yes, please share details.

Academic inormationPlease give details in chorological order. We need exact name of institution(s) and title ofdegree(s)certi!cate(s). "ou do not need to mention primarysecondary school(s) if you have universitydegree or e#uivalent. $ows can %e added if necessary.

(egree-"erticate/rade-(ivision

Passingyear

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 oforganisation "ontact number

AddressPosition held &onthly )alary

Page #of $

I am applying forthe post of &y name is

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0e*cludingotherbenets1

#ength of service month0s1 2year0s1

%rom

3o

aor responsi%ilities

4eason forleaving

Notice periodre5uired

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 theorganisations I worked for

Position0s1 held there3enure

%rom 3o6

aor responsi%ilities*

7aor responsi%ilities*

8aor responsi%ilities*

Theses ( Pu"lications &i any'(Please mention the theses andor pu%lications that are most important and relevant to the position youare applying for. "ou are welcome to add additional rows if re#uired.)

3itle of theses -publications Published in 0journal, newspaperetc.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 arewelcome 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, routinecorrespondence. + *$ngage freely indiscussion, read 2 write moreadvanced materials. , *)peak, read2 write almost as :uently as mother

#anguages 4ead !rite )peak

Computer pro)ciency(Please use tick ; mark to share expertise in these software tools and alsotell us how you are so.)

I am what I am,because I

Page +of $

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professional

condent average beginner tookcourses

selftaught