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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.
OSAMU SASAKI
a I Name:
TAMURAKOMA & CO., LTD.
Male
b I Sex: M C. Name of company/firm C.
Nationality
Japan
2nd Nationality
(In case of dual citizenship,
mention
the name)
N/A
Place of Birth:
Aichi, Japan
Date of Birth:
10th May 1977
Country of Birth
Japan
ID in applicant’s
Country:
N/A
Passport number:
TZ2020911
Passport issue
Date:
18th October 2020
Passport validity date:
18th October 2030
Passport Issuing authority:
Embassy of Japan in Bangladesh
Visa number:
A 3744689
Visa issue date:
15th August 2024
Visa Category:
E
Visa validity date:
15th November 2024
Visa issuing authority:
High Commission of People’s Republic of Bangladesh.
Date of
application for visa extension
N/A
Duration of stay in Bangladesh according to
visa status:
90 Days
Place of visa issue
From:
Tokyo, Japan
Land phone
Number:
N/A
E-mail address:
osamu_sasaki@tamurakoma.co.jp
Cell phone
number:
01326245463
Date of first
arrival in
Bangladesh:
4th December 2020
Name of the Immigration checkpoint
While
Arriving first time
in
Bangladesh:
Hazrat Shahjalal International Airport, Dhaka. Immigration police, Bangladesh.
Date of last visit to Bangladesh:
21st August 2024
Name of the
immigration cheek point while
Arriving last time
In
Bangladesh
Do
Date of enrolment
In foreigner’s
Registration office
N/A
Do you possess
Any
Work permit?
Yes
Number &
duration of
work permit:
WPN-25Aug2024-00021
2 Years
Validity date of
Work
Permit:
20th August 2026
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 has any affiliation with the
offices of
Bangladesh
Government:
No
Are you engaged
With any other
occupation in Bangladesh:
No
If applicant
Engaged
with other jobs
then
clarify that:
No
Resident address in Bangladesh:
Merchandising Manager
Your designation in your office:
Undergraduate Faculty of Agriculture.
Educational Qualification and institution’s name:
Gifu University
Employment History (in Bangladesh & Abroad):
19 July 2023-31 October 2023-
TM Textiles & Garments Limited- Manager
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: OSAMU SASAKI
SIGN:
DATE: