UNIVERSITI BRUNEI DARUSSALAM

Post and Area of Specialisation applied for:

Reference number:

Assistant Professor of TESL

Date of any previous application:

Please indicate the source from where you
obtained information regarding the vacant
post at Universiti Brunei Darussalam:

PERSONAL PARTICULARS
Full Name (with qualifications in brief):

Date of Birth:

Place of Birth:

Nationality:

Citizenship:

Marital Status:

Religion:

Sex:

Country of
Domicile:

Passport No.:

Expiry Date:

Address of
correspondence:

Telephone [Office]:

E-Mail:

Telephone [Home]:

Fax No.:

Present Post:
Basic Salary:
Other Emoluments and Allowance etc:
Period of Notice before Reporting for Duty in Brunei:

Attach
passport-size
photograph
here

UBD/LC/001

ACADEMIC RECORD with dates

Secondary Schools Attended:

Post School Qualifications: (with institutions attended, dates and brief details of subjects, grades and qualifications)

Fellowship and Membership of Learned and Professional Societies:

EMPLOYMENT RECORD CURRENT POST

Institution:

Faculty/School/Department:

Duties:

Current Position of
Responsibility [e.g. Head of
Department]:
Previous Posts and Responsibilities in this Institution:

PREVIOUS EMPLOYMENT [in chronological with dates]

Names and Dates of Previous Institutions/Employers with brief details of posts and responsibilities.
In Higher Education:
Positions held

Name of Institution

Date (From To)

Nature of Employment

Name of Institution

Date (From To)

Nature of Employment

Other Employers:
Positions held

TEACHING AND SUPERVISION

Indicate Courses which you can Teach and Others which you are Willing to Offer at undergraduate and
postgraduate levels:

Supervision Experience: Please indicate and provide list of supervision at undergraduate level (such as final year
projects) and postgraduate level (Masters degree and PhD students)

[Use additional sheet if necessary]

RESEARCH AND PUBLICATIONS

Indicate Present Research and Areas of Interest. Please attach list of Publications (Books and Monograph,
International Journals, Other Scholarly Publications)

[Use additional sheet if necessary]

LANGUAGES
Fluent

Written Ability
Good

Fair

Fluent

Spoken Ability
Good

Fair

Malay
English
Arabic
Others:

HOBBIES AND INTERESTS:

FAMILY PARTICULARS
Children Name

Date of Birth

Sex

1.

2.

3.

4.
Applicants Spouse [Indicate briefly, if you wish your spouses occupation and qualifications and possible
employment interest in Brunei [this does not imply that any such employment is available].
Full Name :

REFEREES
Give details of three referees [including position and qualifications], stating whether they may be contacted at this
stage. Please include telephone, fax numbers and email address.
1.
2.
3.
I declare that the particulars in this application and the attached sheets hereto are true to the best of my knowledge
and belief, and that I have not wilfully withheld any material fact.
Signature :

Date:

Notes
(1) A letter of application and any further details may be attached.
(2) Attach a recent photograph to each copy of this application form.