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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.
RICHARD NAVEA ROSERO
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:
LAGONOY CAM SUR
Date of Birth:
11 December 1978
Country of Birth
Philippine
ID in applicant’s
Country:
N/A
Passport number:
P5187371A
Passport issue
Date:
29 November 2017
Passport validity date:
28 November 2022
Passport Issuing authority:
DFA MANILA
Visa number:
A 2641813
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:
ricrose11@yahoo.com
Cell phone
number:
+880-13-2443-3326
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-13Dec2021-00039
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:
Bachelor’s in public administration
3. Educational Qualification and institution’s name:
PAMANTASAN LUNGSOD NG MAYNILA (University of the city of Manila)
Tokyo Consulting Firm Limited
4. Employment History (in Bangladesh & Abroad):
In Bangladesh from 08 December 2021 to Present;
Alstom Transport KSA from 2018 to 2019 as a Train Driver Institutor.
In Dubai Metro project from 2009 to 2017 as Station Master
And in previously from 2003 to 2009 in Light Rail Transit Authority as a Train Driver/ Train Operator.
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: RICHARD NAVEA ROSERO
SIGN:
DATE: