be
filled in
by the
Bank
Serial
No
Roll No
Paste a recent
passport size
photograph
and sign
across.
Country Office, First Floor, Uday Tower, 57&57A,
Gulshan Avenue, Gulshan 1,Dhaka
BANGLADESH OPERATIONS
Mothers Name:
Contact Number:
Email address:
_____________________________________________________________________
Date of Birth:
---D
D
Y
Y
Y
Gender:
Marital
Status
---M
Male
Sing
le
Female
Marrie
d
Age as on 01.04.2016
Year
Month(
s
s)
(Please
Tick)
Widow
ed
(Please
tick)
Page 1 of 2
Educational Qualifications:
Exam
Board/
passed
University
Subjects
Job profile
Year of
Passing
Length of
Service
%of
marks
Reasons for
leaving
I hereby declare that all the information provided above are true, complete and correct to the best of my
knowledge and belief. I understand that in the event of any information being found untrue or incorrect
at any stage, my candidature is liable to be cancelled.
Place:___________________
Date: ___________________
Found in order
Discrepant
Discrepancy:________________________________________________________________________
__
___________________________________________________________________________________
Page 2 of 2