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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.
HIDEHARU TOYAMA
a I Name:
TAISEI CORPORATION
Male
b I Sex: M C. Name of company/firm C.
Nationality
Japanese
2nd Nationality
(In case of dual citizenship,
mention
the name)
No
Place of Birth:
KANAGAWA
Date of Birth:
27 September 1968
Country of Birth
Japan
ID in applicant’s
Country:
N/A
Passport number:
TR4988403
Passport issue
Date:
10 Nov 2015
Passport validity date:
10 Nov 2025
Passport Issuing authority:
Ministry of Foreign Affairs
Visa number:
A2345469
Visa issue date:
14 September 2022
Visa Category:
Employment
Visa validity date:
14 December 2022
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:
E-mail address:
tooyama@ce.taisei.co.jp
Cell phone
number:
+880 18 81114498
Date of first
arrival in
Bangladesh:
11 September 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:
26 September 2022
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-01Oct2022-00004
1 (One) year
Validity date of
Work
Permit:
25 September 2023
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:
N/A
Shanta Debonair, Plot No. 42, Road No. 18,
Resident address in Bangladesh:
Block- B, Banani Dhaka 1213. Bangladesh.
Deputy General Manager
2. Your designation in your office:
Civil Engineer Faculty of Engineering
3. Educational Qualification and institution’s name:
THE UNIVERSITY OF TOKYO
TAISEI CORPORATION
4. Employment History (in Bangladesh & Abroad):
In Bangladesh from 26 September 2022 to Present;
In Japan “Taisei Corporation” started in 1992 from 1993 worked in Civil Engineer design department as a position of “Civil Engineer”
In Japan he worked in Domestic Infrastructure Construction project from 1994 to 2001.
In Japan joined another Project as name of USA LRT Project” and worked till 2002.
In Taiwan he joined another Metro project and till 2006 he was worked in there.
In Dubai he worked in UAE Dubai Highway Bridge project and till 2010 he worked.
In Pakistan he worked in a highway and till 2019 he worked and return back to his country Japan and till 2022 he worked in Japan.
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: HIDEHARU TOYAMA
SIGN:
DATE: