eivei

wPd GKvD›Um GÛ dvBbvÝ Awdmvi

¯^v¯’¨ I cwievi Kj¨vY gš¿Yvjq
wnmve feb, †m¸bevwMPv, XvKv|

welq t EFT Gi gva¨‡g †eZb wej cwi‡kv‡ai wbwg‡Ë Z_¨ cÖavb

cÖm‡½|

Rbve
webxZ wb‡e`b GB †h, Avwg wb¤œ¯^vÿiKvix Avgvi †eZb fvZvw`
EFT Gi gva¨‡g cwi‡kv‡ai wbwg‡Ë cÖ‡qvRbxq Z_¨ wb‡¤œ cÖ`vb
Kwijvgt

1| evsjvq bvg : iægvbv cviwfb

Name in English : RUMANA PERVIN
3| c`ex : mnKvix mvR©b
4| Awd‡mi bvg : ¯^v¯’¨ Awa`ßi, gnvLvjx, XvKv|
5| Rb¥ ZvwiL : 29/10/1990 Bs
6| RvZxq cwiPqcÎ bs : 5079831177
7| †gvevBj b¤^i : 01731931617
8| e¨vs‡Ki bvg : WvP& evsjv e¨vsK wjt
9| e¨vs‡Ki kvLvi bvg : avbgwÛ kvLv, XvKv|
10| e¨vsK ivDwUs b¤^i : 090261183
11| AbjvBb e¨vsK wnmve bs : 110.151.67080
12| B-wUb bs : 230228311618

Dc‡iv³ Z‡_¨i Av‡jv‡K EFT Gi cÖ‡qvRbxq e¨e¯’v MÖn‡Yi Rb¨

webxZ Aby‡iva Rvbvw”Q|

wb‡e`K

Wvt iægvbv cviwfb

†KvW bs-142886
mnKvix mvR©b
¯^v¯’¨ Awa`ßi, gnvLvjx, XvKv|

ZvwiLt
 Government of the People’s Republic of Bangladesh
Finance Division, Ministry of Finance
EFT Sign-up Form
To be completed by the Employee/DDO

Payee Type: Employee/DDO iBAS ID No:

Employee
Account Name (As Recorded in Bank Account): RUMANA PERVIN
Designation: Assistant Surgeon
Department/Office: DG Health
National ID No: 5079831177
Bank Name: Dutch Bangla Bank Ltd.
Branch Name: Dhanmondi Branch, Dhaka, Routing Number: 090261183
Account Number: 110.151.67080
Account Type: Savings   Current
Mobile Number: 01731931617, E-mail: rumanarime49@gmail.com
e-TIN Number: 230228311618
I authorize my salary & allowances/pension/other payments to be sent directly to my
Bank Account details of which have been provided herewith.

Name: RUMANA PERVIN

Date:
Signature:

Please attach a photocopy of the cover page of your cheque Book in support of above
Bank Information.