Security Clearance
Form-2
(To be filled by applicant)
Reference:
Subject: Personal Information.
Please find the information furnished here under for your ready reference.
HANISH CHAND
a I Name:
Nippon Signal Company Limited
Male
b I Sex: M C. Name of company/firm C.
Nationality
Indian
2nd Nationality
(In case of dual citizenship,
mention
the name)
No
Place of Birth:
Delhi, India
Date of Birth:
13 October, 1979
Country of Birth
India
ID in applicant’s
Country:
N/A
Passport number:
J7498046
Passport issue
Date:
03 June, 2011
Passport validity date:
02 June, 2021
Passport Issuing authority:
Regional Passport Office, Delhi
Visa number:
091011091939323
Visa issue date:
13 September, 2019
Visa Category:
Employment
Visa validity date:
12 September, 2020
Visa issuing authority :
Bangladesh High Commission, New Delhi, India
Date of
application for
visa extension
N/A
Duration of stay in Bangladesh according to
visa status:
As Required
Place of visa issue
From:
New Delhi, India
Land phone
Number:
E-mail address:
Cell phone
number:
+88 01303700845
Date of first
arrival in
Bangladesh:
22 September, 2019
Name of the Immigration checkpoint
While
Arriving first time
in
Bangladesh:
Hazrat Shahjalal International Airport, Dhaka. Immigration police, Bangladesh.
Date of last visit in Bangladesh:
Name of the
immigration cheek point while
Arriving last time
In
Bangladesh
Do
Date of enrolment
In foreigner’s
Registration office
02 November, 2019
Do you possess
Any
Work permit?
Yes
Number &
duration of
work permit:
WPN-03Oct2019-00006
2 (Two) years
Validity date of
Work
Permit:
21 September 2021
Please mentioned
the date,
if you have
applied for
extension of your
work permit:
N/A
Do you pay tax to Bangladesh
Government
Yes
Does your office
Activity have any affiliation with the
offices of
Bangladesh
Government:
Yes
Are you engaged
With any other
occupation in Bangladesh:
No
If applicant
Engaged
with other job
then
clarify of that:
N/A
CP-7 project office, Block I, Sector 16,
Resident address in Bangladesh:
Road: Sonargoan Janapath, Diabari, Uttara, Dhaka-1230, Bangladesh
Deputy Project Manager (Signaling System)
2. Your designation in your office:
Bachelor of Technology (B.Tech) in Electronics & Communications
3. Educational Qualification and institution’s name:
Maharaja Agrasen Institute of Technology, Delhi.(Affiliated to Guru Gobind Singh Indraprastha University, Delhi)
Nippon Signal Company Limited
4. Employment History (in Bangladesh & Abroad):
In Bangladesh from 22 September, 2019 to Present;
In India Alstom Transport India Ltd. (Interface Manager)08/04/2019 to 30/07/2019
In India Larsen & Toubro Ltd. , India (Interface Manager) 16/05/2018 to 03/04/2019
In India Ansaldo-STS India Pvt Ltd. (Sr. Installation Engineer) 06/07/2015 to 15/05/2018
In India THALES India Pvt Ltd (Installation Manager) 01/10/2013 to 22/06/2015
In India Alcatel-Lucent India Ltd. , India (Manager) 30/11/2009 to 30/09/2013
In India Agrahari Communications, India (Site and System Engineer) 04/06/2008 to 27/11/2009
In India Auro Tel Communication Pvt Ltd (Engineer-Sales & Marketing) 07/08/2006 to 30/05/2008
5. Travel record for the last 3 years:
6. Are you engaged with any social/ cultural activities apart from your present occupation in Bangladesh? If yes please provide details: No
7. Is your spouse(S) residing with you in Bangladesh? If yes please furnish:
SL
No
Name
Pass port
Number
Relation With You
NAME: HANISH CHAND
SIGN:
DATE: