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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.
BUNTARO SHIONO
a I Name:
Nippon Koei Bangladesh Ltd.
Male
b I Sex: M C. Name of company/firm C.
Nationality
Japanese
2nd Nationality
(In case of dual citizenship,
mention
the name)
No
Place of Birth:
Tokyo.
Date of Birth:
19 February, 1987
Country of Birth
Japan
ID in applicant’s
Country:
N/A
Passport number:
MU7052635
Passport issue
Date:
05 January, 2018
Passport validity date:
05 January, 2023
Passport Issuing authority:
Ministry of Foreign Affairs, Japan
Visa number:
A 2340420
Visa issue date:
26 June, 2021
Visa Category:
Employment
Visa validity date:
26 September, 2021
Visa issuing authority :
Tokyo, Japan
Date of
application for
visa extension
N/A
Duration of stay in Bangladesh according to
visa status:
As Required
Place of visa issue
From:
Tokyo, Japan
Land phone
Number:
E-mail address:
shiono-bn@n-koei.jp
Cell phone
number:
+88 01940-440011
Date of first
arrival in
Bangladesh:
28 March, 2018
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:
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-13Jul2021-00019;
(1 Year)
Validity date of
Work
Permit:
08 July, 2022
Please mentioned
the date,
if you have
applied for
extension of your
work permit:
N/A
Do you pay tax to Bangladesh
Government
-
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
House # 30, Road No, 38, Ghulsan, Dhaka
Resident address in Bangladesh:
General Manager
2. Your designation in your office:
Bachelor of Arts in Foreign Studies.
3. Educational Qualification and institution’s name:
SOPHIA UNIVERSITY ( JOCHI DAIGAKU)
Nippon Koei Bangladesh Ltd.
4. Employment History (in Bangladesh & Abroad):
In Japan Head Quarter from 2016 to Present; Related with strategic plan of the organization, along with financial and engineering Consulting.
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: BUNTARO SHIONO
SIGN:
DATE: