Security Clearance
Form-2
(To be filled by applicant)
Reference:
Subject: Personal Information.
Please find the information furnished here under for your ready reference.
TOKUYUKI MATSUYA
a I Name:
Male
b I Sex: M C. Name of C. Company/Firm
Taisei Corporation
Nationality
Japanese
2nd Nationality
(In case of dual citizenship,
mention
the name)
N/A
Place of Birth:
Kanagawa, Japan
Date of Birth:
13th October, 1968
Country of Birth
Japan
ID in applicant’s
Country:
N/A
Passport number:
TZ1012754
Passport issue
Date:
10 April 2014
Passport validity date:
10 April 2024
Passport Issuing authority:
Embassy of Japan in Indonesia
Visa number:
A3327253
Visa issue date:
04 April 2023
Visa Category:
E
Visa validity date:
14 September 2023
Visa issuing Authority:
Department of Immigration & Passports (DIP)
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:
N/A
E-mail address:
matuya-t@ce.taisei.co.jp
Cell phone
number:
01847-544372
Date of first
arrival in
Bangladesh:
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:
17th March 2023
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-19Mar2023-00021
1 Year
Validity date of
Work
Permit:
16th March, 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 have any affiliation with the
offices of
Bangladesh
Government:
No
Are you engaged
With any other
occupation in Bangladesh:
No
If applicant
Engaged
with other job
then
clarify of that:
No
Catharsis Building 10th Floor, House 133, Road 12, Banani, Dhaka-1212, Bangladesh
Resident address in Bangladesh:
Head Manager of Civil EstimatiDepartment
2. Your designation in your office:
Bachelor in Civil Engineering, Faculty of Engineering.
3. Educational Qualification and institution’s name:
Hokkaido University
4. Employment History (in Bangladesh & Abroad):
April, 2021-at Present: Manager (Estimation Section), Civil Engineering Dept in Bangladesh.
Sept. 2020-31 March 2021-Manager (Estimation Section), Civil Engineering Dept in Myanmar.
July, 2015-31 August,2020-Deputy Project Manager and Project Manager "CP1A Hoa Lac
Science and Technology City Development Project, Vietnam.
April, 2012-30 June, 2015-Project Manager, IID Land Development Phase-2, Indonesia.
April, 2008-31 March, 2012-Construction Manager, Srilanka, Highway Project.
January, 2005-31 March,2008-Construction Manager in Malaysia, Sewerage Plant Project.
April, 1994-31 December, 2004-Management of 8 Construction site in Japan.
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
Attached with Passport
NAME: TOKUYUKI MATSUYA
SIGN:
DATE: