Security Clearance
Form-2
(To be filled by applicant)
Reference: 03.219.344.00.00.0000.1823.11062018.
Subject: Personal Information.
Please find the information furnished here under for your ready reference.
MR. YOSHIHIRO NAGAI
a I Name:
Male
Toyoshima & Co., Ltd.
b I Sex: M C. Name of company/firm C.
Nationality
Japan
2nd Nationality
(In case of dual citizenship,
mention
the name)
Place of Birth:
Japan
Date of Birth:
21st November 1967
Country of Birth
Japan
ID in applicant’s
Country:
Passport number:
TK2206914
Passport issue
Date:
30th June 2010
Passport validity date:
30th June 2020
Passport Issuing authority:
Ministry of foreign affairs
Visa number:
A0937052
Visa issue date:
18th October, 2018
Visa Category:
Employment
Visa validity date:
18th January, 2018
Visa issuing authority :
Embassy of the People’s Republic of Bangladesh, Tokyo
Date of
application for
visa extension
Duration of stay in Bangladesh according to
visa status:
90 days
Place of visa issue
From:
Tokyo, Japan
Land phone
Number:
E-mail address:
y.nagai@toyoshima.co.jp
Cell phone
number :
+8801675400453
Date of first
arrival in
Bangladesh:
27th October,2018
Name of the Immigration checkpoint
While
Arriving first time
in
Bangladesh :
Hajrat Shahjalal international Airport , Dhaka .immigration police , Bnagladesh
Date of last visit in Bangladesh:
17th December,2018
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:
03.219.344.00.00.000019675.28102018
1 (one) year
Validity date of
Work
Permit:
One year from
27. 10. 2018
Please mentioned
the date,
if you have
applied for
extension of your
work permit:
N/A
Do you pay tax to Bangladesh
Government
N/A
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:
No
Resident address in Bangladesh:
Ventura Iconia, Plot # 37, Flat # 7/F,
Road # 11, Block # H, Banani, Dhaka-1213
2. Your designation in your office:
Country Manager
3. Educational Qualification and institution’s name:
Graduation of Foreign language,
Kyoto University
4. Employment History (in Bangladesh & Abroad):
From 31st March, 1990 to present (Abroad)
TOYOSHIMA & Co., Ltd. Ichinomiya Head Quarter, Nagoya head Office, Milan Office, Qingdao Office.
N/A
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: YOSHIHIRO Nagai
SIGN:____________________.
DATE: