Application Form ATTACH PHOTO HERE(Passport size)

The Charles Wallace Professional Visits Programme 2016

  1. NameClick here to enter text.
  1. GenderChoose an item. 3. Date of birthClick here to enter text.
  1. AddressClick here to enter text.
  1. Telephone numbersClick here to enter text.
  1. E-mail addressClick here to enter text.
  1. Please state briefly your current position with job title, department, institutionand responsibilities (300 word max)

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  1. Summary of higher educational background (colleges/dates/qualifications)

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  1. Please give a brief career history including professional and overseas travel experiences. (500 words max)

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  1. Please state briefly your major achievements and any awards received (250 words)

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  1. Subject area in which applying

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  1. UK institution inviting you to the UK with contact name and contact number(copy of the letter of invitation must be attached)

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  1. What do you hope to achieve during your stay in the UK in terms of personal and professional development? (250 words )

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  1. What will you contribute to your host institution during your stay in the UK? (150)

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  1. How long do you plan to stay in the UK? (Please note that this professional visits programme offers return fares and subsistence in the UK for a maximum of three months, but shorter visits are funded. Please note that no course or bench fees are payable.)

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  1. How do you plan to implement and cascade in Bangladesh your learning during your period with your nominated UK host institution? (500 words)

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  1. Please provide any other information you may find relevant to this application (200 words)

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Signed

DateClick here to enter a date.

Please make sure this application and all attachments reach to by Saturday16April 2016.Please put this code ‘CW1617’ in the subject line of the email.

Short-listed applications will be acknowledged and a date and time given for interview together with any further instructions.

We regret that applications that are not short-listed will not be acknowledged

For further information, please contact or call us on: +88 09666773377or visit:

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