Security Clearance
Form-2
(To be filled by applicant)
Reference:
Subject: Personal Information.
Please find the information furnished here under for your ready reference .
a I Name:
b I Sex: M C. Name of company/firm C.
Nationality Japanese 2 nd Nationality
(In case of dual
citizenship,
mention
the name)
N/A
Place of Birth: Chiba, Japan Date of Birth: 15 th September 1974
Country of
Birth
Japan ID in applicant’s
Country:
N/A
Passport
number:
TZ2124623 Passport issue
Date:
11 th July 2022
Passport
validity date:
11 th July 2032 Passport Issuing
authority:
Embassy Of Japan in Myanmar.
Visa number: A 3940102 Visa issue date: 20 th May 2025
Visa Category: E Visa validity date: 19 th August 2025
Visa issuing
authority:
Yangon, Myanmar Date of
application for visa
extension
N/A
MASAYUKI HIRONO
Male Blue Asian Foods Limited.
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:
12 th 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:
7 th 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:
6 th 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
1. Resident address in Bangladesh:
2. Your designation in your office:
3. Educational Qualification and institution’s name:
4. Employment History (in Bangladesh & Abroad):
SRL Bhaban, Plot# 1668, Ichanagar, Patiya, Karnafuli
(police Station), CHATTOGRAM-4370
General Manager (Factory)
Bachelor of Arts
Meikai University
Attached with Resume
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Masayulti Hitono
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