APPLICATION FORM FOR TEACHERS/STAFF

Post Applied for ……………………………………….

Subject: ………………………………………………… (Mention Only One Specific Subject)

PERSONAL INFORMATION

1. Name in Block Letters Miss/Mrs./Mr.……………………………………………………………………………

2. Date of Birth (in Figures) …………………. ….. (In words) ………………………………….…………. …..

3. Place of Birth …………………………4. Nationality…………………………5. Blood Group: ………………

6. Contact Address with Telephone/Mobile Number(s)

………………………………………………………………………………………………………………….……………

…………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………

E-mail ID: ……………………………………….........................................................................................

7. Marital Status …………………………………….……… 8. Number of Children ………….….…………….…

9. Language Spoken at Home 1………….………….2…………………….3…………………………….……….….

10. Name of Father: …………………….………………..............….………………………………………….………

Occupation Father: ……………….....................................................................................................

Address and Telephone Number (Father): ………………………………………………………………………

11. Name of Mother …………………….…………………………….……………………………………………………

Occupation Mother: ………….........................................................................................................

Address and Telephone Number (Mother): ………………………………………………………………………

12. Name of Spouse …………………….…………………………………………………………………………………

Occupation Spouse………………......................................................................................................

Address and Telephone Number (Spouse): ………………………………………………………………………

13. Details of Foreign Travel: ……....…………………………………………………………….……………………

Address and Telephone Number: …………………………………………………………………………………

ACADEMIC INFORMATION/PROFESSIONAL QUALIFICATIONS

Sl No Qualification Discipline/ Name of School Year of % of Division

Subjects College/University Passing Marks

5
DETAILS OF SCHOLARSHIPS/AWARDS/HONOURS/ RESEARCH WORK/PUBLICATION

PROFICIENCY IN LANGUAGES (WRITE MOTHER

TONGUE AT S.NO. 1)

Sl. No Language Read Write Speak

1
2
3

From the following list indicate the areas in which you have
an interest in order of preference

ACADEMICS EXTRACURRICULAR SPORTS ACTIVITIES

Accountancy Advertising Athletics

Art History Art Galleries Basket Ball
Anthropology Archeology Badminton
Ancient Civilization Banking Cricket
Business Administration Dramatics Foot Ball
Computer Science Film TV Journalism Gymnastics
Economics Fine Arts Horse Riding
Environmental Studies Gardening Hockey
International relations International Organizations Jud
Literature Interior Designing o
Karat
Languages Literary Activities e Tennis
Lawn
Mathematical Sciences Music and Dance Shooting
Natural Sciences Museums Table Tennis
Physical/Applied Sciences NCC/Scouts/Guides Volley Ball
Social Sciences Photography Physical
Undecided Social Service Fitness
Any other

1. ………………….….... 1. ……………………….….. 1. …………………..

2. ……………………….. 2. …………………………... 2. ………….………..
3. ………………….……. 3. ………………………..….. 3. ……………..……..
P
R
O
F
I
C
I
E
N
C
Y

I
N
 DETAILS OF WORK EXPERIENCE:

Sl. Name of From To Positions Subjects and

No Institution Held Classes Taught

Total Experience (in Years) ......................................

Teaching ……………………………….

Administration ……………………………….

Any other ……………….……………….

PARTICULARS OF PRESENT JOB:

1. Name and Full Address of Present Organization with Contact Numbers

……………………………………………………………………………………………………………………

………………………………………………………………………………………………………………..….

2. Present Designation …………………………………………………………….………………………….

3. Date of Joining ……………………………………………………………………….…………………….

4. Present Place of Posting ……………………………………………………………………………………

5. Total Emoluments(Remunerations) …………………….… Salary details:

Basic:
Allowances:
Other benefits:
6. Are you under Service Bond: ……………………...........................
(If yes, give details) …………………………………………………….….

7. Exact Period After Which You Can Join If Selected ………………………………………………….

8. Expected Salary: ……………………………………………………………

OTHER INFORMATION:

(I) Seminars and Courses Intended:

Sl. Seminar/Course Duration Date Description

No
1
2
3

(II) Name of Three Books Recently Read with Names of Authors:

Sl. No Title Author

1
2
3
 (III) Do You Suffer from Any Major Ailment/Medical Problems? Yes/No
If yes, give details

(IV) Have you ever been convicted by any court of law or any disciplinary
proceedings/enquiry is against you or penalty has been imposed upon
you.
Yes/No

If yes, give details

(V) Give details of the references (other than relatives) in the field
of education.

Name Occupation Address (Official) Tel No. E-mail ID

Thereby certify that the information provided is true and to the best of my knowledge belief. If
any information is found to be false/incorrect it will disqualify me for employment in any of the
schools of the DPS STS School Dhaka.

Date ………………………… Signature of the Candidate