Form No : 06-01-HRD-01-3 Revision : 03

SQUARE PHARMACEUTICALS LTD.

48, Mohakhali C.A., Dhaka-1212

MANAGEMENT APPLICATION FORM

Photo

1. PERSONAL DETAILS

Application Number (if applicable) :

Position Applied for :Executive, Human Resources (Kaliakoir Plant)
Name: MD. YEAHYEA KABIR
Fathers Name: LATE. HUMAYUN KABIR

Fathers Occupation :

Mothers Name :LATE ROKEYA BEGUM

Mothers Occupation :

Permanent Address :
Building-5 Flat-204, Japan Garden City, 24/A, Block-C, Tajmohal Road
Mohammadpur, Dhaka-1207

Contact Address :
Building-5 Flat-204, Japan Garden City, 24/A, Block-C,
Tajmohal Road Mohammadpur, Dhaka-1207

Telephone No.: 01819273552

E-mail Address: yeahyea.kabir@gamil.com

Telephone No.: 01819273552

E-mail Address: yeahyea.kabir@gmail.com

Date of Birth : 13 August 1988

Religion : Islam

National ID No.: 2690246028763

Place of Birth : Dhaka

Passport No. (if any):

Nationality : Bangladeshi
Driving License No (if any):

Blood Group : O +,ve

Date of Marriage :
Spouses Organization :

Height :6 Feet & 0 Inches

Spouses Name :
Spouses Designation :

Weight : 90 Kilograms
Spouses Profession :
No. of Male Children :

Marital Status : Single

Spouses Qualification :
No. of Female Children :

DEPENDENTS :

Name

Age

Relationship

Name

Name of brothers and sisters with age, occupation and contact address :
Name
Age
Occupation
Institute / Organization Name
Hosne Ara Keya
34
Service
Shinepukur Ceramics Ltd. A
holder
Beximco Company
Humaira Akter

30

Service
holder

Nestl Bangladesh

Age

Relationship

Contact Address
Level-14,Bel Tower,
Dhanmondi-1,Dhaka.
Cell no. 01730700152
NINAKABBO, 227 /A ,
Gulshan Tejgoan Link Road.
Cell no. 01714098596

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Medical Information : (Please give brief details and dates of any illness, surgeries and disabilities)

(You

will be required to undergo a medical examination by a registered physician before any employment offer can be confirmed )

2. Education (Please start with the most recent)

Examination Name

Master of
Business
Administrati
on (MBA)
Bachelor of
Business
Administrati
on (BBA)
Higher
Secondary
School
Certificate
Examination
(HSC)
Secondary
School
Certificate
Examination
(SSC)

Study Years
From
To

Passing
Year

2012

2015

2015

2006

2012

2012

2003

2005

2005

2001

2003

2003

Exam
Held
(Year)

Name of
School / College
/ University

Result

Subject /
Group

University /
Board with
Country

East West
University

CGPA:
2.92

Human
Resources

East West
University

East West
University

CGPA:
2.92

Human
Resources

East West
University

2005

Dhaka Imperial
College

CGPA:
4.30

Business
Studies

Dhaka

2003

Post office High

School

CGPA:
3.06

Science

Dhaka

Scholarship
or
Distinction

Technical, Professional or Occupational training: (Please start with the most recent to include apprenticeships, articles, correspondence
courses, company course etc.)
Date (DD/MM/YYYY)
Training Title
Name of Institute /
Country
Qualification
Organization / Firm
Name
Gained/Achievement
From
To

Knowledge of language :
Language

Reading
(Good, Average or Poor)
Good
Good

Bengali
English
Others :

Writing
(Good, Average or Poor)
Good
Good

Speaking
(Good, Average or Poor)
Good
Good

1.
2.

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3. Job Information: (Please give details of all job experiences. Start with your present or most recent job)
Date (DD/MM/YYYY)
From
To
15.04.2012
18.08.2014

Name of
organization
Wellpac Polymers
Limited

4. Expected salary for the position applied for

Designation and
job summary
Executive HR
Job Summary:
1.Policy development
&implementation
2. Maintaining Recruitment &
Selection activities
3. Preparing Job description
4. Developing & executing
employees training
5. Handling TNA Analysis
6. Assisting Performance
Appraisal
7. Preparing employee
payroll
8. Handling employee
grievances

Tk. 30,000.00

Starting
15,000

Salary *
Present

Leaving
20,000

Name & designation of your

immediate Supervisor
Shaikh Shameem Hussain
Head Of HR & Admin

* You have to produce your pay slip / salary certificate, if applicable.

Achievements

Reason of leaving the job

To Pursue MBA

5. Extra Curricular Activities And Interests

Nature of Activity
Membership: Rotary International(Rotaract)
Organizer: YouthSpirit
Hobby: Listening Music

Honours / Awards / Prize, if any

6. Housing Status (Please give Tick as applicable)

Type of accommodation :
Own home

7.

Rent

Have you previously applied for any employment in SQUARE Group:

Dormitory

Others

Yes

No

If yes, Position Human Resource Executive

Year 2015
8. Name of relatives, friends or known persons, if any, at present working with SQUARE Group (Relatives include spouse, son,
daughter, step son, step daughter, full brother and sister, first line of in-laws, uncle, aunty, nephew, niece and direct grand children)
Sl.
Name
Designation
Department &
Organization
Relationship
Workstation
1.
2.
3.
9. Name of relatives, friends or known persons working other than SQUARE Group
Sl.
Name
Designation &
Organization
Department

Name

Name

Contact Address &

Relationship

Phone Number

1.
2.
10. References :
11.

1. Shaikh Shameem Hussain, Head Of HR & Admin

Wellpac Polymers Limited, Cell: 01732505938

Additional Information : (Is there anything else you would like to add)

2. Mr. Omar Faruq, Assistant Professor

East West University, Cell: 01711590278

12. Declaration : I declare that the information given by me in this application form is true and complete in all respects to the best of
my knowledge. I fully understand that suppression of facts or false information will lead to rejection of my application
at any stage of the selection process or termination of service during my employment.
Signature of Applicant :
Date :16.05.2015

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