CGS-SQUARE FELLOWSHIP 2015

Application Information:
Applying for the category of
PhD Fellowship [for field visit only]
Senior Fellowship [Book Project, Research Project, Documentary, Translation]
Junior Fellowship [Book Project, Research Project, Documentary, Translation]

Personal Information:
Applicants Name:
Mothers Name:
Fathers Name:
Marital Status:

Married

Unmarried

Gender:

Male

Female

Nationality:

Religion:

National ID No.:
Date of Birth:
day

month

year

Present Address:

Permanent Address:

Email Address:

Contact Phone no:

Photograph
(Passport Size)

CGS-SQUARE FELLOWSHIP 2015

Academic Qualification:
Level
(on descending
order)

Area of
study

Concentration/
Major

Experience Information:

Fresh

Year of
Pass

Name of
Institution

Experienced

Experience 1:
Employer:
Designation:

From:

To:

Core
Responsibilities:

Address:
Phone:

[Applicants are suggested to provide detailed information in the CV]

Division/
Percentage of
Class/CGPA marks obtained

CGS-SQUARE FELLOWSHIP 2015

Professional Qualification:
Name of Degree:
Institute:

From:

To:

[Applicants are suggested to provide detailed information in the CV]

No. of Publication (If any): National

International

Attach details:
[Applicants are suggested to provide detailed information in the CV]

PhD Research (Title of the PhD Research and the specific area that the applicant intends to research
in Bangladesh)

Required documents for PhD research:

1. Recommendation letter from the Supervisor.
2. PhD proposal.

CGS-SQUARE FELLOWSHIP 2015

Book Project (Title of the proposed book project and the specific area that the applicant intends to
write)

Required documents for Book project:

1. Contract with the publisher (if any)
Research Project (Title of the proposed research project and the specific area that the applicant
intends to work)

Required documents for Research project:

1. Please provide detailed research plan (2000 words)
Translation (Details of the book that the applicant intends to work)

Required documents for translation project:

(a) Contract between the publisher and applicant
(b) Documents confirming that the translator/publisher has acquired legal permission for translation.
Documentary (subject/title of the documentary that the applicant intends to work)

CGS-SQUARE FELLOWSHIP 2015

Required documents for all applicants:
1. Detailed CV
2. Two Reference Letters.

Reference1:

Reference-2:

Name:

Name:

Position:

Position:

Address:

Address:

Phone:

Phone:

Email:

Email:

Declaration
I declare that all information provided in this application and in documents submitted is true and
correct.

Signature of the Applicant

Date

Sending your application:

Applicants are requested to fill up this form and send it as attached document to
info.cgs.bd@gmail.com. CV and reference letters should be attached in the same email. Please write
CGS-SQUARE Fellowship 2015 in the subject line.