Government of the People's Republic of Bangladesh

Bangladesh Public Service Commission Applicant's Copy

Application Form for Non-Cadre Examination [BPSC Form - 5 A]
Application for Ministry of Railways

User ID: NLIDZZPHGN Ref: 04-19/2023 | Last Date: 07 March 2023

Registration No 007511
Post Name Sub Assistant Engineer (Mechanical/Train Examiner/Drawing)
Exam Centre DHAKA
Applicant's Name MD SOHEL RANA
Father's Name MD MAHABUR RAHMAN
Mother's Name MST SHEFALI KHATUN
Date of Birth 07 December 2000 [22 Years 1 Month(s) 26 Day(s)]
Gender Male

Freedom Fighter Status Non Freedom Fighter Ethnic Minority No

Marital Status Single Physically Handicapped No
Nationality/NID Bangladeshi/1963472905 Home District Dinajpur

Present Address: Permanent Address:

Care of: Md Mahabur Rahman Care of: Md Mahabur Rahman
Village/Town: Sonkair Village/Town: Sonkair
Post Office: Boideshir Hat Post Office: Boideshir Hat
Post Code: 5240 Post Code: 5240
Upazilla/Thana: Chirirbandar Upazilla/Thana: Chirirbandar
District: Dinajpur District: Dinajpur

Academic Qualifications:

Examination Board/Institute Group/Subject/Degree Result Year Roll Duration

S.S.C Dinajpur Science 4.86 2017 214182 N/A

Diploma in
Dhaka Power Technology 3.72 2021 901871 N/A
Engineering/Diploma

Enclosure: [Attested Certificates/Equivalent Certificates to be Submitted Later According to Tick Mark]

01. Recent Passpost Size Photograph | 02. Admit Card | 03. S. S. C. or Equivalent Certificate | 04. H. S. C. or Equivalent Certificate | 12. National ID |
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 Commission
including cancellation of my candidature.

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