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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.
GANESHKUMAR SUBRAMANI
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:
Thiruthangal, Tamil Nadu
Date of Birth:
28 May 1997
Country of Birth
India
ID in applicant’s
Country:
N/A
Passport number:
Z6310746
Passport issue
Date:
4 April 2022
Passport validity date:
03 April 2032
Passport Issuing authority:
Madurai
Visa number:
A1994166
Visa issue date:
08 September 2022
Visa Category:
Employment
Visa validity date:
09 September 2023
Visa issuing authority :
Deputy High Commission, Kolkata, 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:
Calcutta, India
Land phone
Number:
E-mail address:
ssgani28@gmail.com
Cell phone
number:
01325065951
Date of first
arrival in
Bangladesh:
08 October 2022
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:
08 October 2022
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-12Oct2022-00048
1 (One) year
Validity date of
Work
Permit:
07 October 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, Dhaka Metro Rail Project
Are you engaged
With any other
occupation in Bangladesh:
No
If applicant
Engaged
with other job
then
clarify of that:
N/A
House 39, Road 12, Sector 10 Uttara Dhaka 1230
Resident address in Bangladesh:
2. Your designation in your office:
Trainer- AFC (Automatic Fare Collection)
Diploma in Electronics and communication Eng.
3. Educational Qualification and institution’s name:
State Board of Technical Education and Training (Dep- Technical Education)
Nippon Signal Company Limited
4. Employment History (in Bangladesh & Abroad):
In Bangladesh from 08 October, 2022 to Present;
In India Chennai worked in TVM Signaling Transportation System Pvt Ltd. from 2019 to 2022 as AFC Engineer.
In India worked in Iqor Global Service India Pvt Ltd. in Repair Department as a position of “Repair Engineer” from 2016 to 2018.
In India Pacific Cyber Technology Pvt Ltd. from 2018 to 2019 as a “FAE (Failure Analysis Engineer)”
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: GANESHKUMAR SUBRAMANI
SIGN:
DATE: