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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.
VINODKUMAR GUPTA
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:
Hanumanpur, Uttar Pradesh India.
Date of Birth:
10 June, 1989
Country of Birth
India
ID in applicant’s
Country:
N/A
Passport number:
Z5471858
Passport issue
Date:
12 December 2019
Passport validity date:
11 December 2029
Passport Issuing authority:
Regional Passport Office, Kolkata
Visa number:
A2048779
Visa issue date:
28 October,2021
Visa Category:
Employment
Visa validity date:
28 October, 2022
Visa issuing authority :
Deputy High Commission of Bangladesh in Kolkata, 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:
Calcutta, India
Land phone
Number:
E-mail address:
vinodkumar.gupta@inbox.com
Cell phone
number:
+8801818-042578
Date of first
arrival in
Bangladesh:
26 January, 2020
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:
06 Nov, 2021
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-28Jan2020-00018
2 (Two) years
Validity date of
Work
Permit:
25 January 2022
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
Onibran Safwan, House/Flat- 6,
Resident address in Bangladesh:
Road-17/B, Sector-12, Uttara, Dhaka
Senior Engineer – Interface, Testing & Commissioning (Signaling)
2. Your designation in your office:
Diploma in Electronics Engineering
3. Educational Qualification and institution’s name:
Government Polytechnic, Mumbai
Nippon Signal Company Limited
4. Employment History (in Bangladesh & Abroad):
In Bangladesh from 26 January 2020 to Present.
In India HITACHI RAIL STS (Package Leader) From December 2012 to December 2019.
In India SERCO MIDDLE EAST- DUBAI METRO (Communication Technician) From July 2009 to November 2012.
In India UTILITY POWERTECH LIMITED (Project Engineer) From August 2008 to June 2009.
In India KINGFISHER AIRLINES LTD. (IFE APPENTICE) From May 2008 to July 2008.
In India ANA-DIGI CONTROLS (DIPLOMA TRAINEE ENGINEER) From July 2007 to March 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: VINODKUMAR GUPTA
SIGN:
DATE: