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04 UTB Application Form For Academic Position Non Local Applicant 2018

This document is an application form for an academic position at Universiti Teknologi Brunei for non-local applicants. It requires applicants to provide personal details, academic and employment history, teaching experience, research and publications, languages spoken, and contact details for referees. Applicants must also submit documents including academic certificates, a passport copy, reference letters, a CV, and proof of research achievements. An incomplete application may not be considered for the position.

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AnneHumayraAnas
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327 views9 pages

04 UTB Application Form For Academic Position Non Local Applicant 2018

This document is an application form for an academic position at Universiti Teknologi Brunei for non-local applicants. It requires applicants to provide personal details, academic and employment history, teaching experience, research and publications, languages spoken, and contact details for referees. Applicants must also submit documents including academic certificates, a passport copy, reference letters, a CV, and proof of research achievements. An incomplete application may not be considered for the position.

Uploaded by

AnneHumayraAnas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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UNIVERSITI TEKNOLOGI BRUNEI

[Application Form for Academic Position]


NON-LOCAL APPLICANT

Please complete and forward to:

Registrar and Secretary


Universiti Teknologi Brunei
(Attention to: Assistant Registrar, Personnel)

For applicant use only

This application form must be accompanied with

CHECKLIST/instructions

Signature of the applicant and the date of submission


Letter of application
Recent passport-size photograph
Copies of academic certificates and transcripts (first degree, master’s degree, PhD
including professional qualifications)
Copy of passport
Names and contact details (including email addresses) of 4 referees
Up-to-date curriculum vitae
copy of current appointment letter
copy of current pay slip/salary certificate
proof of payment for the professional qualifications
Print out of your teaching portfolio, research portfolio, h-index, citation, and number of
listed publications (Scopus for School of Computing and Informatics, School Applied
Sciences and Mathematics, School of Design, and Faculty of Engineering; Google
Scholar for Centre for Communication, Teaching and Learning, and School of
Business), by the published closing date.

An incomplete application may not be considered.

1
Attach recent
UNIVERSITI TEKNOLOGI BRUNEI passport-size
APPLICATION FORM FOR ACADEMIC POSITION photograph
here
[NON-LOCAL APPLICANT]

Post applied for:


Reference number:
Date of any previous
application:
Please indicate the source
from where you obtained
information regarding the
vacant post at Universiti
Teknologi Brunei:

PERSONAL PARTICULARS

Full Name (with qualifications in brief):

Place of
Date of Birth:
Birth:

Nationality: Citizenship:

Marital Status: Religion:

Country of
Gender:
Domicile:
Passport No.:
(Attach a scanned Expiry Date:
copy of passport)

Address of
correspondence:

Telephone [Office]: E-Mail:

Telephone [Home]: Fax No.:

Present Post:

Basic Salary:

Other Emoluments and


Allowance etc.:

2
Period of Notice before Reporting for Duty in
Brunei:

ACADEMIC QUALIFICATIONS with dates


Major Field of Study Name & Address of Awarding Date Graduated
Institution
First Degree

Master Degree

PhD

Other Award,
please state:
Fellowship and Membership of Type / Name & Address of Awarding Date
Learned and Professional Societies Class Institution

Use this space to provide additional information you wish to include / you may use additional sheet if
necessary

EMPLOYMENT RECORD: CURRENT POST


Starting Date:

Institution:

Faculty/School/Department:

Duties:

Current Position of Responsibility


[e.g. Head of Department, Deputy
Dean, Dean/Director]:

Previous Posts and Responsibilities in this Institution:

3
PREVIOUS EMPLOYMENT [in chronological with dates]
Names and Dates of Previous Institutions/Employers with brief details of posts and responsibilities.

In Higher Education:

Date (From –
Positions held Name of Institution Nature of Employment
To)

Other Employers:
Date (From –
Positions held Name of Institution Nature of Employment
To)

ADMINISTRATION, LEADERSHIP AND MANAGEMENT


Contribution to the Administration of the University at Programme Level, Faculty level,
appointment as a principal officer or course coordinator and accomplishments in that role, and
contribution to the attainment of the goals described in any of the University’s mission and
statement/strategic plan/research plan or faculty strategic plan. Please also state any new
initiatives at each level:

Programme Area Level:

Nos. Date (From Chair/Member of New initiatives Accomplishments in the


– To) Committee introduced/implemented role

4
Faculty Level:

Nos. Date (From Chair/Member of New initiatives Accomplishments in the


– To) Committee introduced/implemented role

University Level:

Nos. Date of Appointment/Position New initiatives Accomplishments in


Appointment introduced/implemented the role
(From – To)

Service Awards or Prizes, if any:

Date Awarded Name of the award Explain briefly the significant of


the award

[Use additional sheet if necessary]

5
TEACHING AND SUPERVISION
Teaching Experience:

Total number years of Teaching:

Indicate Modules that you can Teach and willing to offer at undergraduate and postgraduate levels:

Please provide copy of teaching feedback exercise for the past 2 years.

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, Areas of Interest, Research Grants and Research Prizes granted.
Research Activities:

Research Area/Interest:

Research Grants:

Research Prizes:

6
PUBLICATIONS:

Publications In terms of numbers)


Books and Book Chapters

Referred Journal Articles

Non-referred Articles

Conference Papers

Patents

Others, please specify

Current Publication Standing Google Scholar Scopus

H-index

Citations

No. of Publications listed

Please attach list of Publications (Books and Monograph, International Journals, Other Scholarly
Publications) and provide a print out of your Scopus and Google Scholar h-index and citation, as a
measure for both the productivity and impact of the published work

[Use additional sheet if necessary]

LANGUAGES
Written Ability Spoken Ability
Fluent Good Fair Fluent Good Fair
Malay

English

Arabic

Others:

7
HOBBIES AND INTERESTS:

FAMILY PARTICULARS

Nos. Children Name Date of Birth Gender

1.

2.

3.

4.

Applicant’s Spouse

Full Name:

REFEREES
Please provide names of four (4) referees who are willing to serve in its capacity and will be able to
submit reports to the University by a given date. Referees should be people of standing whose
judgements can be relied upon by the Panel in its deliberation.

Title and Full Name of Referee:


Position:

Mailing Address:

Telephone:
Email address:

Title and Full Name of Referee:


Position:

Mailing Address:

Telephone:
Email address:

Title and Full Name of Referee:


Position:

8
Mailing Address:

Telephone:
Email address:

Title and Full Name of Referee:


Position:

Mailing Address:

Telephone:
Email address:

DECLARATION

I declare that all the information provided on this application is true and correct to the best of my
knowledge. I understand this information is subject to verification, and my employment and/or
continuance thereof may depend upon its accurateness.

Signature : Date:

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