Job Application Form

Plan Bangladesh
Attach a copy APPLICATION FOR EMPLOYMENT
of your
photograph (Please fill up the items as appropriate and submit
here. together with your CV and other application
requirements being asked for. All information will be
treated confidentially)
Position Applied for: Job Reference: Deputy Area Coordinator

/Jan/2010
Preferred Job Location: How did you find out about this vacancy?

Required Notice Period :

PERSONAL DETAILS
Name (underline last name):

Present Address:

Telephone number: Work Home Cell Phone:

E-mail address:

Nationality:
PRESENT EMPLOYMENT DETAILS (IF APPLICABLE)

Name of Employer: Address:

Job Title: Current monthly gross salary ( BDT):

Start Date: Major responsibilities:

Major Benefits outside the monthly salary :

PREVIOUS EMPLOYMENT DETAILS (IF APPLICABLE)

Position Organization Duration in months/years

EDUCATIONAL QUALIFICATIONS
(Start with the highest qualification including formal and non-formal academic
programs)
Academic Grade/Divisio Year of Year of result Institution
Qualification n passing published
 SKILLS, CONTINUING PROFESSIONAL DEVELOPMENT AND TRAINING
(Please mention the program (s) that you think most important and relevant to
the position you have applied for. Kindly use additional sheet if necessary)

Training/Workshop/Seminar Institution Inclusive Dates

REFERENCES
(Provide detailed contact address of your three referees. One of them must be
your present supervisor, if applicable. Your references will be treated
confidential)
Name: Name: Name:
Job Title: Job Title: Job Title:
Mailing Address: Mailing Address: Mailing Address:

Contact Numbers: Contact Numbers: Contact Numbers:

E-mail address: E-mail address: E-mail address:

OTHER PERSONAL DETAILS

Do you have any relative working in Plan? If yes mention name, job Yes No
title, relationship, and place of work.

Have you applied for other position in Plan earlier? If yes, mention
position and status of application.
PROFILE
(Describe below how you fit into this role. Use separate sheet if necessary.)
 CRIMINAL RECORD
Have you any criminal convictions? If yes, please specify. Yes No

DECLARATION
I confirm that the information provided above, and in any attachment, are correct and I
understand that any false statement or information could result in my application or
appointment being terminated.

Signed: Date:

FOR OFFICIAL USE ONLY

STATUS OF APPLICATION
(The office of the HR will note down the status of the application in each activity for tracking
and record keeping purposes)
Recruitment and Completed/By when Remarks
Selection Phase
Shortlisting
Preliminary interview
Interview
Result (successful or not
successful)
Reference Check
Offer
Contract
Pre-employment medical
check
Others
Instruction:

TO APPLY

Please courier or post your CV with completed Plan’s Job Application

Form to: People & Culture Manager, Plan Bangladesh, House -

CWN (B) 14, Road - 35, Gulshan - 2, Dhaka - 1212, by February

10, 2010. Only short listed candidates will be notified. Any form of

persuasion in the selection process will automatically disqualify the

candidacy. No applications will be received through e-mail.