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Application form

Government of the People's Republic of Bangladesh
Office Of The Deputy Commissioner,Chattogram
www.chittagong.gov.bd
Application Form(Applicant's Copy)
User ID: 5PDYSX36
Ref: 05.42.1500.302.01.004.21-1125, Date:21 June 2021
Post Name
Nazir Cum-Cashier (Revenue)
Applicant's Name
MOHAMMED SAKIBUL ISLAM
Father's Name
MD. RAFIQUL ISLAM
Mother's Name
NASIMA ISLAM
Date of Birth
26/6/1998(23 Years 0 Months 22 Days)
Contact Mobile
01648090168
E-Mail
ezhar@bmenergybd.com
Gender
Male
Religion
Islam
Quota
Non Quota
Home District
Chattogram
National ID
4654095795
Passport ID
A00047880
Birth Registration
N/A
Marital Status
Single
Address Information:
Mailing/Present Address
Permanent Address:
Care of:
Md. Rafiqul Islam
Care of:
Md. Rafiqul Islam
Village/Town/Road/House/Flat:
Chunnu Mia Sharang Bari, Yasin
Nagar,
Village/Town/Road/House/Flat:
Chunnu Mia Sharang Bari, Yasin
Nagar,
Present Post Office:
Fakir Tila
Permanent Post Office:
Fakir Tila
Present Post Code:
4344
Permanent Post Code:
4344
Present P.S./Upazila:
Raozan
Permanent P.S./Upazila:
Raozan
Present District
Chattogram
Permanent District
Chattogram
Academic Qualifications:
Examination
Board/Institute
Group/Subject/Degree
Result
Year
Roll
Duration
S.S.C
Chittagong
Business Studies
3.94 out of
GPA-5
2015
529209
NA
H.S.C
Chittagong
Humanities
3.50 out of
GPA-5
2017
300696
NA
NA
0
NA
Driving License
Departmental status
None
I declare that the information provided in this form are correct, true and complete to the best of my knowledge and belief. If any information is found
false, incorrect, incomplete or if any ineligibility is detected before or after the examination, any action can be taken against me by the Authority
including cancellation of my candidature.
-------------- Applicant's Signature --------------
Congratulations!! Application Submitted Successfully.
Your User ID:5PDYSX36, Please keep this number to pay the application fee within 2021-06-30 13:24:50[YYYY-MM-DD hrs:min:sec]
from any Teletalk prepaid mobile phone by SMS.
1st - SMS Format: DCCTG <space> <User ID> and send SMS to 16222
[Example : DCCTG 5PDYSX36]. 1st-SMS Reply: Returns a PIN (8 Digits) like 13423495
2nd - SMS Format: DCCTG <space> <YES> <space> <PIN> and send SMS to 16222
[Example : DCCTG YES 13423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD
N.B: Please preserve the User ID & Password. You will need User ID & Password to download Admit card.
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