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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.
NIK MOHD HAFIZ BIN NIK MUSTAFA
a I Name:
Sanyo Engineering & Construction Inc.
Male
b I Sex: M C. Name of company/firm C.
Nationality
Malaysia
2nd Nationality
(In case of dual citizenship,
mention
the name)
No
Place of Birth:
KELANTAN
Date of Birth:
1 January, 1983
Country of Birth
Malaysia
ID in applicant’s
Country:
830101036209
Passport number:
A52091750
Passport issue
Date:
26 November, 2018
Passport validity date:
24 January, 2024
Passport Issuing authority:
UTC Kuala Lumpur
Visa number:
A2784964
Visa issue date:
10 August 2022
Visa Category:
Employment
Visa validity date:
30 October 2022
Visa issuing authority :
Department of Immigration and Passports.
Date of
application for
visa extension
N/A
Duration of stay in Bangladesh according to
visa status:
As Required.
Place of visa issue
From:
Agargaon, Dhaka
Land phone
Number:
E-mail address:
paknik83@yahoo.com
Cell phone
number:
01796-770136
Date of first
arrival in
Bangladesh:
09 May, 2022
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:
09 May, 2022
Name of the
immigration cheek point while
Arriving last time
In
Bangladesh
Do
Date of enrolment
In foreigner’s
Registration office
N/A
Do you possess
Any
Work permit?
Yes
Number &
duration of
work permit:
WPN-09May2022-00011
(1 year)
Validity date of
Work
Permit:
08 May, 2023
Please mentioned
the date,
if you have
applied for
extension of your
work permit:
N/A
Do you pay tax to Bangladesh
Government
N/A
Does your office
Activity have any affiliation with the
offices of
Bangladesh
Government:
N/A
Are you engaged
With any other
occupation in Bangladesh:
No
If applicant
Engaged
with other job
then
clarify of that:
N/A
3rd Floor, Plot# 356, Road# 05, Mirpur DOHS,
Resident address in Bangladesh:
Dhaka 1216
Project Manager
2. Your designation in your office:
Bachelor of Engineering (Electrical)
3. Educational Qualification and institution’s name:
UNIVERSITI TEKNOLOGI MALAYSIA
4. Employment History (in Bangladesh & Abroad):
From 2007 and 2013 he had been worked in Bina Puri Sdn. Bhd as a position of “M & E Engineer” in Kuala Lumpur.
From 2013 to 2014 he had been worked with in Ho Hup Construction Co. Berhad as a position of “M & E Engineer” in Baghdad.
From 2014 to 2014 as a position of “Assistant Resident Engineer” he worked in Minconsult Sdn Bhd.
From 2015 to 2017 as the position of “Assistant Resident Engineer” he had worked in AECOM
From 2017 to 2018 he worked in Siemen (M) Sdn Bhd as a position of “Liaison Technical Engineer”
From 2018 to 2020 he worked in AECOM as a position of “Assistant Resident Engineer- M&E”
From 2020 to 2021 he worked with MEG Consult Sdn Bhd as a position of “Resident Engineer- M&E”
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: NIK MOHD HAFIZ BIN NIK MUSTAFASIGN:DATE: