To, Managing Director Ashuganj, Brahmanbaria-3402

Application Form (to be duly filled in)

Ashuganj Power Station Company Ltd. (APSCL)

(Three copies passport size attested photograph)

Name of the Post applied for : 1. Applicants Name 2. Fathers Name 3. Mothers Name 4. Date of Birth 5. Address : : : : :

Permanent

Age (as on..................): Present/Mailing

6. Contact No. Phone/Cell: 7. Marital Status : 8. Nationality : 9. National ID Number (if any): 10. Educational Qualifications:
Educational Level Exam./Degree/ Professional degree (if any) Passing Year

E-mail Address (if any):

School/ Board/ University

Division/Class/ GPA/CGPA, as applicable

11. Computer Literacy: 12. Work Experience :

13. Information about Pay order/ Bank Draft

Pay order/ Bank Draft No. Amount Name of the Bank : : : Date :

14. Attachments (Tick for furnished attachments):

1 2 3 3 (Three) copies of recent colored passport size photo. Attested copies of all educational certificates. Experience Certificate(s) 4 5 6 National identity card (Permanent Address) /nationality certificate. Freedom fighters certificate of parents (if applicable) Bank draft/Pay order

I declare that to the best of my knowledge the above information is correct and complete.

Signature of the applicant:

Date: