KHULNA UNIVERSITY OF ENGINEERING & T Khulna-9203 (Application Form for the Post of Lecturer/Asstt. Professor) HNOLOGY 1, Name (English) (Bengali) 2. a) Father's Name (English) (Bengali) b) Mother's Name 3. Date of Birth 4. Nationality 5, Present/Mailing Address (With Mobile No, & Email Address) 6. Permanent Address Present Position 8. Post Applied for 9. Educational Qualifications (4 candidate must not posses a Third Class/Division in Any Examination) Year | Board/University | Certificate/Degree | Division/Class | % of marks/CGPA. 10. Service Records Non Teaching if any (Starting from First Appointment) Organization Post From To y |mM{pD Total:11. Higher Studies (for internal candidates): | Position Held During | ] | Nature | | I | Migher Studies | From | | roses | Menthe) Devs | otleava r = T — 1 ~ | | | | : == Total #1, Deputation, 2. Study Leave, 3. Leave without Pay, 4. Others. 12, Teaching Experience (if any): __ Post/Institution From | To Years | Months | Days Total: 13. Publications in Journals/Proceedings (if any): Si. | Title ofthe | Name ofthe Journal | Year and Country ‘Name of No. | _ Paper with Vol. No. pp of Publication Author(s)* 14, Other Experiences (if any): 15, Name of 2 (Two) Referees (not related to the applicant): a 2) ignature of the Applicant Mobile Number- Date : Money Receipt No- Date-