People's Republic of Bangladesh

Finance Division, Ministry of Finance

Automated Challan (A-Challan) System
User Registration Form
[For National Board of Revenue (NBR) Only]

Office Name

Circle: lCj Range: g Zone:-lfuyqg k_w ,-5.Dha1;6,

Office Address
Upazilla/Thana District

Full Name (English) klD rANOu,)AP- HC5rp

Full Name (Bangla) ffi1 E61 €l(("l;1
Designation ut)
National lD No. lql+2_50 Date of Birth tb lat l\sq6
EmaillD. 93.no uz\Krlq@ qwn\.@w Cell Phone No. o\7( 0a90 \gq
Signature (Applicant) Date tl loq I 2-9

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Name $4 ,tv\AH1t,tu UL N
Designation
ACT' Signature & Seal
Cell Phone No. c\72.9 - \c bg2-L
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E-maillD minhq, Y\v.l@ Qna"^\, Can
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Name of the Commissioner Abu Nl, l4vstolaL

Designation
Name ofthe Zone A Le4
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Zbnt-
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Dk"ks* Signature & Seal
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Cell Phone No. o iat? 2. a64L (qE
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E-maillD 6fm>nvy*aq.,lf e ehto, (o qr{r $IFfi-r+ Eta+,
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Allotted User Login lD

Created By (Name)
Signature & Seal
Designation

Date of Creation

NB. (1)ForanyqueriespleasecontactSPFMSllelpdesk:Tel.02551'lC546.55,atThelnstitutionofEngineers,Bangladesh(lEB),(Sd
Floor), Ramna, Dhaka.
 The purpose of this form is to register the required
access to Automated challan system (Acs).
Automated Challan System (ACS) must complete
All users who need to use
this form.
a
The information submitted will be used to build an
accurate account of allthose officers and staff
accessing Automated challan
System (ACS)to maintain system security.
I

No user will be granted access without having

completed the information required overleaf, and
having had their application
approved by their controlling authority.

I (the applicant named overleaf) declare that

the information given is correct and I agree
to comply with all requirements or any
conditions that may be imposed by the competent
authority in respect of Automated chalan System
:l::::"t"ble (ACS)

I (the applicant named overleaf) acknowledge that

all information of system is confidentiai and
falsifuing, damaging or any misuse is an unauthorized disclosure,
offence"

Applicant's Signature

tf approved, as an authorized user of Automated

challan system (ACS) you agree to:
a Keep secure and not disclose to another person
the unique user identifiei (user lD) and password
allocated to you.
a only use the user lD/Password to access or othenvise
receive data that does not pertain to your role/designation.
a Notify the system admin if you gain access or
otherwise receive data that does not pertain
to your role/designation.
a Notify the system admin if you suspect that the
security of your User lD/password is in any
way compromised.
a Not copy or distribute system data or applications
to any person, machine or media, unless
othenvise authorized.
a Notify the system admin, if you:
o Change your current postion
o change the address or rocation of your normar prace
of connection
o Change any other information submitted overleaf