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:
Kolkata
Visa number:
A 2124122
Visa issue date:
05 November, 2020
Visa Category:
Employment
Visa validity date:
05 June, 2021 (Applied for Renew)
Visa issuing authority:
New Delhi, 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:
New Delhi, India.
Land phone
Number:
E-mail address:
Cell phone
number:
Date of first
arrival in
Bangladesh:
21 December, 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:
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-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
CP-7 project office, Block I, Sector 16,
Resident address in Bangladesh:
Road: Sonargoan Janapath, Diabari, Uttara, Dhaka-1230, Bangladesh
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: