PLEASE TYPE OR PRINT YOUR ANSWER IN THEApplication

Visa SPACE PROVIDED

Form BELOW EACH ITEM
Bangladesh High Commission, Karachi, Pakistan
01. Full Name (First/Middle/ Family Name)
Syed Awais Haider
02. Place of Birth (City/ State/ Country) 03. Date of Birth (dd/mm/yyyy)
Karachi, Pakistan 04/02/1990
04. Nationality 05. Dual Nationality Yes No Staple
Pakistani If yes: 3 x copies of photo
Name of the Country: (37mm x 37mm)
Passport Number: Identity Card Number:
07. Religion 08. Sex
Islam
Male Female
09. Marital Status
Married
Unmarried
Divorced
Widowed

10. Profession 11. Type of Visa

Chartered Certified Accountant E1
12. Passport Number (on which visa is being applied) 13. Place of Issue 14. Date of Expiry
BM6972681 Karachi 17/10/ 2017
15. Spouse Name Nationality

16. Father’s Name Nationality

Syed Ghulam Haider Shah Pakistani
17. Mother’s Name Nationality
Rubina Bibi Pakistani
18. Home Address
A/83 Sadat Colony Shah Faisal Town 21. Email
Krachi 20. Fax syedawaishaider@yahoo.com
19. Telephone 0302-2239968
22. Business/ Work Address
23-C Aziz Avenue, Gulberg 5, Lahore 25. Email
23. Telephone +92-42-35715871 24. Fax syedawaishaider@yahoo.com
26. Name of Employer and / or Company
A.F.Ferguson & Co. 29. Email
27. Telephone +92-42-35775747-48 28. Fax syedawaishaider@yahoo.com
30. Purpose of Visit (Tick appropriate box)

Tourism (incl. Tabling/visiting relatives, etc) Business/ Investment Seminar/ Conference/ Govt. Delegation

Cultural/ Scientific Programme Missionary NGO Works Official

Expert(s)/Worker(s)/Teacher(s)/Representative(s) in Industrial/Educational/Trading Org./Sports/Artistic activities etc.
Govt. Contractual Employment Study/ Research Employment in UN/ International Org.
Journalism / Media (Print & Electronic) Others (Specify)
31. Name and Address of Person (s), Institution or Company where you can be contacted during your stay in Bangladesh
Noman Fashion Fabrics Limited, Adamjee Court Main Building (5th Floor)115-120, Motijheel C/A, Dhaka
32. Address while in Bangladesh 33. Telephone
Adamjee Court Main Building (5th Floor)115-120, Motijheel C/A, Dhaka 008801944799805
34. Place and Probable Date of Arrival 35. Intended Duration of Stay
October 15, 2016 1 Year
36. Have you ever served in the Armed Forces? (if ‘YES’ then fill out the separate form)
No
37. Have you ever been to Bangladesh 38. If yes, Date and length of last visit
Yes No

39. Name and Relationship of person (s) Traveling with you

N/A
40. Declaration
I declare that the above information is true and accurate
Name Syed Awais Haider Date06/10/2016 Signature_____________________
Please ensure that your have answered items 1 through 39 and signed the Declaration. Incomplete forms will be returned
 FOR OFFICIAL USE ONLY (Do not write in this space)

Date ______ /______/__________

Visa No.__________________________________ Classification_____________________________

Type: Single / Multiple / Transit

Date of Issue_______________________________ Validity ________________________________

Authirized Duration ________________________

Rufused on _________________________________ Reviewd by ____________________________

Comments:

(Name and Designation of the Issuing Authority with seal)