Submit printed copy of this form to the address mentioned in employment notice

Applied for the post

Tracking ID

: Assistant Manager (Technical)

: TECH/06/0/2011/21753

Personal Information:
Name of Applicant Father's Name Mother's Name Date of Birth (dd-mm-yyyy) Gender Permanent Address : Md. Tashfiqul Islam : Md. Mafizul Islam : Sitara Parveen : 16-12-1986 : Male : 144 West Kafrul, Sher-E-Bangla Nagar, TaltolaMollapara, Dhaka-1207, Dhaka. Present Address : 144 West Kafrul, Sher-E-Bangla Nagar, TaltolaMollapara, Dhaka-1207, Dhaka. District E-mail Phone Mobile Nationality National ID No. Name of the Quota Applied for : Dhaka : tashfiqul.islam@gmail.com : : 01912471478 : Bangladeshi : 19862693016103950 : Not Applicable

Academic Qualification
# 1 Degree S.S.C. Class GPA-Scale 4.13 4 Passing Year 2001 Board Rajshahi Institution Radhanagar Majumdar Academy, pabna. 2 H.S.C. 3.30 4 2003 Rajshahi Shahid Bulbul College, Pabna. # 1 Degree B.Sc. Class CGPA-Scale 2.56 4 Passing Year 2008 Institution Ahsanullah University Of Science & Technology 2 3 M.Sc. Ph.D.

Professional Experience
# Name of Organization Position From (dd-mm-yyyy) To (dd-mm-yyyy)

1 of 2

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1 ConnectBD Programmer 2 3 4 5

01-02-2007

29-10-2011

Other Professional Certificates

# 1 2 3 4

Description
150 Hour Training on Object Oriented Programming (OOP) from BASIS.

Remarks

I hereby declare that all statements contained in this application are true and correct. I understand that false or inaccurate information in the application will be the basis for disqualification. I also understand that Bangladesh Telecommunications Company Limited (BTCL) can verify this information and investigate my background.

__________________________ Signature of the applicant Date: The following documents are to be attached with the application (a) Attested copy of National ID Card (b) Attested Copies of the certificates of all educational qualifications and experiences (original copies are to be produced during interview) (c) Three (03) copies of recent passport size photograph duly attested (d) Other documents as mentioned in the employment notice

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