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Peop!e s Kpublicof Banglades
V Divery Slip- DHAKA
2601V0O00484580
MRV-ENROL03 Counor
26/07/2022
12/08/2022 (If holiday, then next working day)
al DatC
VISA EXTENSION Apication Vpe
EMPLOYMENT
J0123dn art
S I9it
ans Duiais
KOTARO YSName Passport Number TT1404083
TAKEUCHI nt Na Number of Entries MULTIPLE
KOTARO fFirst Name on Visa
Fee USD
TAKEUCH Fee Receipt
09/08/1980 Dale oi Birth Over Stay Fees
JPN-Japanese resent Nationality Over Stay Receipt Number
MALE
o taui nerPonanent) 090-3153-4400
enact Number(tiangladesh) 01735901417
54-28, ISHIZUKA, HARUE-CHO, SAKAI-SHI, FUKUI
-KEN, JAPAN,,
aot d iess
10B, HOUSE#96, ROAD#23, BLOCK-A, BANANI,
DHAKA-1213, BANGLADESH,,
Ai ess Bglaues
Received By Operators Signature
Visa No Applicant's Signature