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People's Republic of Bangladesh
MRV Delivery Slip • DHAKA Please
c_heck
your delivery slip
1f
ony
mistal<e,
Enrolment
Dern•~
Counter
llcposot lla1u
Call Dal.; ;,pploca11on
I ype
Purpose Ot Vis l
,;.i-.,I
Nu111e
Firs1 Nainc on v,sa
Last
Name on v,sa
D;ilc
of B,rtn
Co111ac1
Number(Permanem)
Contact rwmbe:rr0angladesh)
Pcrmane:111
,,ddrc,;s
11odress
in
l:!angladcsl1
Hecc,ved By
contact
to
the computer operator
usER-HP
12 within two working days:
,1,08120:>s No
cornpl£llnt
will he entertained
~flPr h!lrn riAv<;
05/09/2025 (If holiday lhon
noxt
kl
• wor ng day)
VISA EXTENSION
lJEPl·NDFN I'()
KAIRI
UCHIDA
KAIRI
UCHIDA
04/05/2021
JPN - Japanese
MALI
81-80-6400-1448
018-14114159
4 - 2 • 6 - 502, AKEMI, URAYASU. CHIBA, JAPAN.
279 - 0014.,
HOUSE NO 8, FLAT NO A6, ROAD
11
BARIDHARA
..
Passpon Number
Number
of
Entfles
Fee
Fee Receipt
Over Stay Fees
Over Slay Recerpt Number
II
I II
II
II
I
Ill
lllll
llll
Ill Ill
II
I
II
II
1111111111111111111
2601V0000622366
MV0543603
MULTIPLE
Operato(s Signature