1) The document is an application form for the position of Assistant Engineer at grade 9. 2) It contains personal details of the applicant such as name, father's name, date of birth, contact information, educational qualifications etc. 3) It also includes reference details, a declaration by the applicant and instructions for paying the application fee via SMS.

1. Application Form(Applicant's Copy)
User ID: SJH5PT Ref: 27.12.2637.141.11.001.16, Date: May, 2016
Post Name Assistant Engineer(Grade-09)
Departmental Candidate N/A
Applicant's Name SONJOY GUHA
Father's Name DIPAK KUMAR GUHA
Mother's Name MANJU GUHA
Date of Birth 3/3/1990 [DD/MM/YYYY](26 Years 3 Months 3 Days)
Contact Mobile 01729930103
E-Mail sonjoyguha@gmail.com
Gender Male
Religion Hinduism
Quota Non Quota
National ID 19909329515000040 Passport ID N/A
Birth Registration Marital Status Single
Address Information:
Mailing/Present Address Permanent Address:
Care of: Razib Guha Care of: DIPAK KUMAR GUHA
Village/Town/Road/House/Flat: Road-17,house-25,Nikunjo-2,Dhaka. Village/Town/Road/House/Flat:
Biswas Betka,Dasbari,Near the Kalli-
mondir,Tangail
P.S./Upazila: Uttara P.S./Upazila: Tangail Sadar
Present Post Office: uttara Permanent Post Office: Tangail
Present Post Code: 1204 Permanent Post Code: 1900
Present District: Dhaka permanent District: Tangail
Academic Qualifications:
Examination Board/Institute Group/Subject/Degree Result Year Roll Duration
S.S.C Dhaka Science 4.40 (GPA-5) 2005 129071 NA
H.S.C Dhaka Science 3.30 (GPA-5) 2007 122495 NA
B.Sc Engineering/ M.B.B.S
American International University
Bangladesh
Electrical & Electronics 2.50 (GPA-4) 2014 NA 4
() NA
() NA
Reference Informaiton:
References: 01 References: 02
Name : MR.Akhil Datta Name : MD.Shohidullah mithu
Designation : General Manager Plant Designation : CEO
Organization/Address : Bengal Remidies Organization/Address : Salient Engineering Corporation
Contact Number : 01787661227 Contact Number : 01716516571
Email : Akhil.datta@yahoo.com Email : Salient.corporation@yahoo.com
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.

2. -------------- Applicant's Signature --------------
Congratulations!! Application Submitted Successfully.
Your User ID is:SJH5PT, Please keep this number to pay the application fee within 2016-06-18 12:29:51[DD-MM-YYYY hrs:min:sec] from any Teletalk
prepaid mobile phone by SMS.
1st - SMS Format: BREB <space> <User ID> and send SMS to 16222
[Example : BREB SJH5PT]. 1st-SMS Reply: Returns a PIN (8 Digits) like 23423495
2nd - SMS Format: BREB <space> <YES> <space> <PIN> and send SMS to 16222
[Example : BREB YES 23423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD
N.B: For any inconvenience, please send an email to vas.query@teletalk.com.bd
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