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.
MASAYUKI HIRONO
a I Name:
Blue Asian Foods Limited.
Male
b I Sex: M C. Name of company/firm C.
Nationality
Japanese
2nd Nationality
(In case of dual citizenship,
mention
the name)
N/A
Place of Birth:
Chiba, Japan
Date of Birth:
15th September 1974
Country of Birth
Japan
ID in applicant’s
Country:
N/A
Passport number:
TZ2124623
Passport issue
Date:
11th July 2022
Passport validity date:
11th July 2032
Passport Issuing authority:
Embassy Of Japan in Myanmar.
Visa number:
A 3940102
Visa issue date:
20th May 2025
Visa Category:
E
Visa validity date:
19th August 2025
Visa issuing authority:
Yangon, Myanmar
Date of
application for visa extension
N/A
Duration of stay in Bangladesh according to
visa status:
90 Days
Place of visa issue
From:
Yangon, Myanmar
Land phone
Number:
N/A
E-mail address:
m.hirono7@mtfoods.co.jp
Cell phone
number:
+8801701217218
Date of first
arrival in
Bangladesh:
12th March 2025
Name of the Immigration checkpoint
While
Arriving first time
in
Bangladesh:
Hazrat Shahjalal International Airport, Dhaka. Immigration police, Bangladesh.
Date of last visit to Bangladesh:
7th July 2025
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-08Jul2025-00028 (1 years)
Validity date of
Work
Permit:
6th July 2026
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:
No
SRL Bhaban, Plot# 1668, Ichanagar, Patiya, Karnafuli (police Station), CHATTOGRAM-4370
Resident address in Bangladesh:
General Manager (Factory)
Your designation in your office:
Bachelor of Arts
Educational Qualification and institution’s name:
Meikai University
Attached with Resume
Employment History (in Bangladesh & Abroad):
5. Travel record for the last 3 years:
Attached with Passport
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
Passport Number
Relation With You
1.
Keiko Hirono
TT2115453
Wife
NAME: Masayuki Hirono
SIGN:
DATE: