Ministry of Defence

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12/16/22, 12:23 AM Ministry of Defence

Government of the People's Republic of Bangladesh

Ministry of Defence
www.mod.gov.bd

Application Form(Applicant's Copy)

Ref: 23.00.0000.180.19.283.2022-425, Dated: 13


User ID: M1TKHYBP
November 2022

Post Name Assistant Director (AD)


Applicant's Name IMRAN BIN FORHAD
Father's Name S. MD. FOURHAD HOSSAIN
Mother's Name ARZINA KHATUN
Date of Birth 15/02/1997 (25 Years 8 Months 14 Days on 01/11/2022)
Contact Mobile 01779640047
Email imransrj95@gmail.com
Gender Male
Religion Islam
Quota Non Quota
Home District Sirajganj

National ID 8705523465 Passport ID N/A


Birth Registration N/A Marital Status Single

Address Information:

Mailing/Present Address Permanent Address


Care of S. MD. FOURHAD HOSSAIN Care of S. MD. FOURHAD HOSSAIN
Holding No: 19, Iqbal Road Holding No: 19, Iqbal Road
Village/Town/Road/House/Flat Dokkhin, Sirajganj Sadar, Village/Town/Road/House/Flat Dokkhin, Sirajganj Sadar,
Sirajganj Sirajganj
Post Office Sirajganj Sadar Post Office Sirajganj Sadar
Post Code 6700 Post Code 6700
P.S./Upazila Sirajganj Sadar P.S./Upazila Sirajganj Sadar
District Sirajganj District Sirajganj

Academic Qualifications:

Examination Board/Institute Group/Subject/Degree Result Year Roll Duration

5.00 out
S.S.C Rajshahi Science 2012 195620
of GPA-5
4.70 out
H.S.C Rajshahi Science 2014 113566
of GPA-5

Accounting and Information 2.91 out


B.B.A Jagannath University 2019 04
Systems of GPA-4

Accounting and Information 3.08 out


M.B.A Jagannath University 2020 01
Systems of GPA-4

Departmental status None

---------- *** ----------

I declare that the information provided in this form are correct, true and complete to the best of my knowledge and belief.
If any information is found false, incorrect, incomplete or if any ineligibility is detected before or after the examination, any
action can be taken against me by the Authority including cancellation of my candidature.

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12/16/22, 12:23 AM Ministry of Defence

-------------- Applicant's Signature --------------

Congratulations!! Application Submitted Successfully.


N.B: Please print this document for further reference by clicking 'Print'option or
Download this form in PDF form by clicking 'Download this 'Application Form''.

Please click Print to print this document.

Your User ID:M1TKHYBP, Please keep this number to pay the application fee within 2022-12-19
00:21:11[YYYY-MM-DD hrs:min:sec] from any Teletalk prepaid mobile phone by SMS.

1st - SMS Format: DCD <space> <User ID> and send SMS to 16222
[Example : DCD M1TKHYBP]. 1st-SMS Reply: Returns a PIN (8 Digits) like 13423495
2nd - SMS Format: DCD <space> <YES> <space> <PIN> and send SMS to 16222
[Example : DCD YES 13423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD

N.B: Please preserve the User ID & Password. You will need User ID & Password to download Admit card.

Download this 'Application Form'

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