The original file is kept in the office. This is the text saved from it.
1 page
100%
Security Clearance
Form-2
(To be filled by applicant)
Reference:
Subject: Personal Information.
Please find the information furnished here under for your ready reference.
ONO TAKEO
a I Name:
Male
Yurtec Corporation
b I Sex: M C. Name of company/firm C.
Nationality
Japan
2nd Nationality
(In case of dual citizenship,
mention
the name)
Place of Birth:
Japan
Date of Birth:
31 May 1965
Country of Birth
Japan
ID in applicant’s
Country:
Passport number:
TS0890658
Passport issue
Date:
06 June 2018
Passport validity date:
01 March 2028
Passport Issuing authority:
Ministry of Foreign Affairs
Visa number:
A2347734
Visa issue date:
25 January 2023
Visa Category:
Employment
Visa validity date:
25 Apr 2023
Visa issuing authority:
Embassy of the People’s Republic of Bangladesh, Tokyo, Japan
Date of
application for
visa extension
Duration of stay in Bangladesh according to
visa status:
90 days
Place of visa issue
From:
Tokyo, Japan
Land phone
Number:
E-mail address:
ono.takeo@yurtec-overseas.jp
Cell phone
number:
+880 18 1213 1373
Date of first
arrival in
Bangladesh:
27 January, 2023
Name of the Immigration checkpoint
While
Arriving the first time
in
Bangladesh:
Hazrat Shahjalal International Airport, Dhaka. Immigration police, Bangladesh.
Date of last visit in Bangladesh:
Sep., 2, 2022
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-29 Jan 2023-00010
1 (one) year
Validity date of
Work
Permit:
26 January 2024
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 has any affiliation with the
offices of
Bangladesh
Government:
No
Are you engaged
With any other
occupation in Bangladesh:
No
If applicant
Engaged
with other jobs
then
clarify that:
N/A
Niharika Concord Tower, Flat# 5A, Plot# 138, Block# C, Road# 4, Kemal Ataturk Avenue, Banani, Dhaka
Resident address in Bangladesh:
Country Manager
2. Your designation in your office:
Graduation;
3. Educational Qualification and institution’s name:
YAMAGATA UNIVERSITY
Yurtec Corporation
4. Employment History (in Bangladesh & Abroad):
In Bangladesh from 1st Nov 2021 to Present;
In Japan H/O (30 Years).
5. Travel record for the last 3 years:
6. have 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: ONO TAKEO
SIGN:
DATE: