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Security Clearance
Form-2
(To be filled by applicant)
Reference:
Subject: Personal Information.
Please find the information furnished here under for your ready reference.
HARPREETHSINGH MONOHARSINGH
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:
Chennai, Tamil Nadu
Date of Birth:
12 May, 1981
Country of Birth
India
ID in applicant’s
Country:
N/A
Passport number:
R2015616
Passport issue
Date:
21 July 2017
Passport validity date:
20 July, 2027
Passport Issuing authority:
Chennai
Visa number:
A1914603
Visa issue date:
29 August, 2021
Visa Category:
Employment
Visa validity date:
28 February, 2022
Visa issuing authority :
Bangladesh Assistant High Commission, 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:
Bangladesh Assistant High Commission, India
Land phone
Number:
E-mail address:
Cell phone
number:
Date of first
arrival in
Bangladesh:
17 October, 2021
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:
17 October, 2021
Name of the
immigration cheek point while
Arriving last time
In
Bangladesh
Do
Date of enrolment
In foreigner’s
Registration office
Do you possess
Any
Work permit?
Yes
Number &
duration of
work permit:
WPN-21Oct2021-00027
2 (Two) years
Validity date of
Work
Permit:
16 October 2023
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
T & C Manager - PSD
2. Your designation in your office:
Bachelor of Engineering (Electrical & Electronics Engineer)
3. Educational Qualification and institution’s name:
Nippon Signal Company Limited
4. Employment History (in Bangladesh & Abroad):
In Bangladesh from 17 October 2021 to Present.
In India CAPACITE Structure Limited. (Interface dept. Manager) 16/02/2018 to 23/04/2018
In India R. Bupathy & Co., (Site Engineer) 2012- 2014
In India RBCO Consulting Pvt Ltd. Site Engineer) 2014 - 2015
In India TeamLease (Deputy Manager) 2016-2017
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: HARPREETHSINGH MONOHARSINGH
SIGN:
DATE: