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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.
HIDEAKI UCHIDA
a I Name:
Male
International Manpower Development Organization (IM) Japan
b I Sex: M C. Name of Company/firm
Nationality
Japanese
2nd Nationality
(In case of dual citizenship,
mention
the name)
N/A
Place of Birth:
Kanagawa
Date of Birth:
4th November 1991
Country of Birth
JAPAN
ID in applicant’s
Country:
Passport number:
TS5122321
Passport issue
Date:
6th January, 2020
Passport validity date:
6th January 2030
Passport Issuing authority:
MINISTRY OF FOREIGN AFFAIRS
Visa number:
A 2451304
Visa issue date:
7th February 2024
Visa Category:
A3
Visa validity date:
7th February 2025
Visa issuing authority:
Embassy of the People’s Republic of Bangladesh, Tokyo, Japan.
Date of
application for visa extension
Duration of stay in Bangladesh according to
visa status:
1 year
Place of visa issue
From:
Tokyo, Japan
Land phone
Number:
E-mail address:
uchida.h@imm.or.jp
Cell phone
number:
01723-605271
Date of first
arrival in
Bangladesh:
12th February 2024
Name of the Immigration checkpoint
While
Arriving first time
in
Bangladesh:
Hazrat Shahjalal International Airport.
Date of last visit in Bangladesh:
12th February 2024
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:
1 year
WPN-02Mar2024-00001
Validity date of
Work
Permit:
11th February 2025
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:
No
6th Floor, Bureau of Manpower Employment and Training (BMET), 89/2 Kakrail, Ramna, Dhaka-1000. Bangladesh
Resident address in Bangladesh:
Section Chief
2. Your designation in your office:
Faculty Of Contemporary Human Studies
3. Educational Qualification and institution’s name:
Wako University
4. Employment History (in Bangladesh & Abroad):
1st April 2014 -30th June 2017- Canon System & Support Inc.-Employee
1st October 2017-Currently working- International Manpower Development Organization,
Japan (IM JAPAN)- Section Chief
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
NAME: HIDEAKI UCHIDA
SIGN:
DATE: