Chittagong Independent University

Chittagong Independent University

Minhaj Complex 12, Jamal Khan Road, Chittagong-4000

Phone: +88-031-622946, 611262, 636484. Fax: +88-611263

Application Form for Non-Faculty Positions at Chittagong Independent University

Section: 1
Position applied for:* Candidate's Name:*
Father's Name:* Mother's Name:*
Date of Birth:* National ID Number:*
Present Address:* Permanent Address:*
Telephone Number:* Email Address:*
Section: 2
Education
Examination School/College/University & their locations Division/Class/CGPA Year of Graduation
SSC/O-Level/Equivalent:*
HSC/A-Level/Equivalent:*
Bachelor's Degree Major in:*
Master's Degree Major in:
Others, if any:
Section: 3
Computer Literacy:
Language Skills:
Professional Affiliations:
Details of Trainings/Seminars/Conferences attended (if any):
Involvement in Extra-curricular Activities (if any):
Section: 4
Referees (Please give names and contact details of 2 referees who shall be able to write about your skills, one of whom may be your relative and another one may be your colleague or supervisor):
Reference Name* Reference Address* Reference Telephone No.* Reference E-mail Address*
Section: 5
Work Experience, if any (Most recent 3 jobs)
Institution Name Institution Address Designation Duration
Section: 6
Attachments (.jpg, .jpeg, .png, .pdf)
SSC Certificate:* A Recent Photograph:*
HSC Certificate:* Copy of NID:*
Bachelor's Certificate:* Signature:*
Master's Certificate: NOC/Release Letter/Clearance Certificate: