The original file is kept in the office. This is the text saved from it.
1 page
100%
Security Clearance
Form-2
(To be filled by applicant)
Reference:
Subject: Personal Information.
Please find the information furnished here under for your ready reference.
MASAKAZU SOTA
a I Name:
Taisei corporation.
Male
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:
17th December 1973
Country of Birth
Japan
ID in applicant’s
Country:
Passport number:
TZ2063243
Passport issue
Date:
7th July 2021
Passport validity date:
7th July 2031
Passport Issuing authority:
Embassy of Japan in Sri Lanka
Visa number:
A 3760683
Visa issue date:
28th May 2024
Visa Category:
E
Visa validity date:
10th September 2024
Visa issuing Authority:
Bangladesh Embassy, Colombo, Sri Lanka.
Date of
application for visa extension
N/A
Duration of stay in Bangladesh according to
visa status:
As Required
Place of visa issue
From:
Dhaka
Land phone
Number:
E-mail address:
sotasota@ce.taisei.co.jp
Cell phone
number:
01787657784
Date of first
arrival in
Bangladesh:
29th November, 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:
11th June 2024
Name of the
immigration cheek point while
Arriving last time
In
Bangladesh
Do
Date of enrolment
In foreigner’s
Registration office
Not Applicable
Do you possess
Any
Work permit?
Yes
Number &
duration of
work permit:
WPN-12Jun2024-00017
1 year
Validity date of
Work
Permit:
10th June 2025
Please mentioned
the date,
if you have
applied for
extension of your
work permit:
Not Applicable
Do you pay tax to Bangladesh
Government
Yes
Does your office
Activity have any affiliation with the
offices of
Bangladesh
Government:
No
Are you engaged
With any other
occupation in Bangladesh:
No
If applicant
Engaged
with other job
then
clarify of that:
Not Applicable
Catharsis Tower, 10th Floor, House No.133, Road No. 12, Block-E, Banani, Banani
Dhaka-1213
Resident address in Bangladesh:
Manager
2. Your designation in your office:
Graduate
3. Educational Qualification and institution’s name:
Chuo University, Faculty of Science and Engineering
General Manager- Taisei Corporation (Sri Lanka)
4. Employment History (in Bangladesh & Abroad):
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: MASAKAZU SOTA
SIGN:
DATE: