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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.
RAYMOND ADRIANO CABUSLAY
a I Name:
Tokyo Consulting Firm Limited
Male
b I Sex: M C. Name of company/firm C.
Nationality
Philippine
2nd Nationality
(In case of dual citizenship,
mention
the name)
No
Place of Birth:
KALOOKAN CITY
Date of Birth:
04 January 1973
Country of Birth
Philippine
ID in applicant’s
Country:
N/A
Passport number:
P7029725B
Passport issue
Date:
23 June, 2021
Passport validity date:
22 June 2031
Passport Issuing authority:
DFA MANILA
Visa number:
A 2641812
Visa issue date:
16 January, 2022
Visa Category:
Employment
Visa validity date:
28 March, 2022
Visa issuing authority :
Dhaka
Date of
application for
visa extension
Duration of stay in Bangladesh according to
visa status:
As Required
Place of visa issue
From:
Dhaka
Land phone
Number:
E-mail address:
monray04@yahoo.com
Cell phone
number:
+880-13-2443-3323
Date of first
arrival in
Bangladesh:
08 December, 2021
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-13Dec2021-00037
2 (Two) years
Validity date of
Work
Permit:
07 December 2023
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
House-17, Road-14, Sector-3, Uttara, Dhaka 1230
Resident address in Bangladesh:
Senior Consultant (Dhaka Metro Project)
2. Your designation in your office:
Diploma in Computer System Design & Program
3. Educational Qualification and institution’s name:
AMA Computer College
Tokyo Consulting Firm Limited
4. Employment History (in Bangladesh & Abroad):
In Bangladesh from 08 December 2021 to Present;
In Philippine Self Employed as a Merchandiser from 2019 to 2021
In Philippine Site Supervisor in LG2 Construction from 2019 to 2019
In Philippine Sale Agent as a Self-employed from 2013 to 2018
In Qatar Mitsubishi Heavy Industries as a position of Gauge check and T & C Coordinator in 2017
In Singapore Work as a Train Station Supervisor in Gates PCM Construction Ltd. from 2013 to 2013
In Philippine at MF Enterprise as parts personnel from 2011 to 2013
In Dubai at Mitsubishi Heavy Industries as a position of Train Driver and Depot Marshall for Dubai Metro Rail Project from 2008 to 2010
In Philippines Light Rail Transit Authority (LRTA) as a Train Driver from 2007 to 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: RAYMOND ADRIANO CABUSLAY
SIGN:
DATE: