BAF Form 20227 (Amended)

90 BAFA COURSE
Roll No O-090-005747
Exam Date : 23 Apr 24
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APPLICATION FORM FOR JOINING BANGLADESH AIR FORCE AS OFFICER CADET

Please fill up all fields with correct information. Candidate must bring the printed admit card to the exam center.

1. Full Name (in Block Letter): KAZI SHAISAB ZAMAN Gender Male

2. Permanent Address:

. House No/Village Zaman Brothers Road No Theater Road

. P.O. Gopalganj Sadar Post Code 8100

. P.S. Gopalganj District Gopalganj

3. Present Address (for correspondence with the applicant):

. House No/Village 494 Road No Malibagh Rail Gate Baganbari

. P.O. Hatirjhill Post Code 1217

. P.S. Ramna District Dhaka

4. Telephone/Mobile No: 01711451126

5. Candidate’s Branch Preference (in order of priority):

a. General Duties (Pilot) Recommended for ISSB

.
b. ATC / ADWC
Signature_______________________________
c. Logistic / ATC / ADWC
Recruiting Officer

6. National Identity Card and Birth Registration No:

National Identity No 5127750585

Birth Registration No 20053090423088848

Warning:
(1) Any communication made with fraud or dishonest person for recruitment purpose will be treated as ineligibility of the candidate
to join Bangladesh Air Force.
(2) Incomplete application form will be treated as ineligible.
7. A) Date of Birth (as per SSC Certificate): 17 May 2005

. B) Age (as per date mentioned in Circular): Year 19 Month 1 Day 7

. C) Home District: Gopalganj

8. Religion: Islam Sect / Caste Sunni For use by ISSB

Index No_____________
9. Identification Mark :
Board No ____________
10. Email ID kazishoishobzaman@gmail.com
Recommendation _____
11. Marital Status (Unmarried/Married/Divorced): Unmarried Signature_____________

. No of Children (If applicable): ISSB

12. Father’s Name and Description

Name and National ID

Address Educational Qualification Profession Mobile No
No:

494, Malibagh Rail

Kazi Sadique Zaman Gate Bagan Bari MBA (Marketing) Private Service 01711451126

13. Mother’s Name and Description

Name and National ID No: Address Educational Qualification Profession Mobile No

494, Malibagh Rail Gate

SK Lubna Akther Parvin Bagan Bari Masters House Wife 01711015276

14. Father-in-Law’s Name and Description (if applicable):

Name and National ID No: Address Educational Qualification Profession Mobile No

15. Mother-in-Law’s Name and Description (if applicable):

Name and National ID No: Address Educational Qualification Profession Mobile No

16. Guardian’s Name and Description (if other than Father):

Name and National ID No: Address Educational Qualification Profession Mobile No

17. Father/Guardian’s Annual Income, Income Tax and other Land Revenue/Tax Paid:

Father / Guardian's Annual Income Annual Income Tax Paid Land Revenue/Tax Paid

960000

18. Details of Relatives Serving or Retired from Armed Forces & Relation with Candidate:

Serial Name Rank Address Relation Mobile No

Wing Commander House-43, Dhanmondi, Uncle Father

A) Kazi Asikuzzaman 01769990505
Engg Dhaka. Side

Wing Commander House-43, Dhanmondi,

B) Marzia Rahman Aunt 01769990505
Engg Dhaka.

C)

D)

19. Details of two Prominent Personalities who have Close Relation with the Candidate:

Serial Name Profession Address Relation Mobile No

House-43, Grandfather
Former BCSIR
A) Kazi Aktruzzaman Dhanmondi, (Grandfather 01842405637
Director
Dhaka. brother)

Joint Director Basundhara

B) Yasmin Bola Aunt (Father side) 01309000552
(Bangladesh Bank) Abashik

Name, Address, Mobile No and Profession of Close Relatives:

20.
(A) Siblings (Brothers and Sisters):

Name Relation Address Education Profession Mobile No

494, Malibagh Rail Gate

Kazi Sabera Shemat Only Sister Class 6 Student 01711451126
Bagan Bari
(B) Paternal and Maternal Uncle and Aunty:

Name Relation Address Education Profession Mobile No

Shemia Monira Zaman Aunt (Father own sister) Rampura Masters Private Service 01731790994

Details of two Govt/Non-Govt Officials having Equivalent Status of 9th Grade or Above
21.
(not relative of the candidate, having good knowledge about the candidate):

Serial Name Profession Address Mobile No

(A)

(B)

Concealment of truth will be considered as ineligibility of a candidate.

Please think before and give correct information to Paragraph No 22, 23, 24, 25, 26, 27, 28 and 29.

22. Educational Qualification:

Serial Name of Exam Education Institute Board/University Group Year GPA/CGPA

Passed

A) PECE

B) JSC

Faizur Rahman
C) SSC/‘O’ Level Dhaka Science 2021 5
Ideal Institute

Dhaka Imperial
D) HSC/‘A’ Level Dhaka Science 2023 5
College

E) Bachelor’s Degree

F) Master’s Degree

23. Break of Study with Reasons (if applicable)

24. Expertise in the field of Games and Sports (if applicable):

Individual/Team Position in the Competition (Please add

Name of Institute Details of Games/Sports Year Photocopy of Certificate/Medal, if any)

25. Hobby Playing Cricket

26. Details of Surgical or Eye Procedures (If candidate has undergone any)

(A) Description of ISSB in which the candidate participated for commission in any branch of Armed Forces (if
27.
any):

ISSB Final Result at Army/Navy/Air Force

Headquarters

Date Batch No Result (Recommended/Screened Out/Rejected)

B) Details of Application to join Army/Navy/Air Force as Officer/Sainik/MODC or Equivalent (if applicable):

28. (A) Nationality Bangladeshi

Was the Candidate born within Territorial Boundary of

. (B) Yes
Bangladesh?

. (C) Nationality of Father of the Candidate: Bangadeshi

. (D) Nationality of Mother of the Candidate: Bangladeshi

. (E) If Father/Mother of the Candidate is not Bangladeshi by Birth:

. . (I) Date of Arrival in Bangladesh

. . (II) Country from which they Arrived in Bangladesh

. . (III) If the Citizen of another Country before, name of Province/State

. . .

. . (IV) Countries Visited (with reason) after Arrival in Bangladesh

. . .

29. Passport No and Validity (if applicable): A13583601, 03/01/2034

30. Information on Criminal Case of the Candidate (if applicable):

. (A) Is the Candidate Accused in any Criminal Court (Yes/No)? No

. If answer is ‘Yes’, present state of the case with details

. (B) Is the Candidate Convicted by any Criminal Court (Yes/No)? No

. If answer is ‘Yes’, details of the case

31. Details of Previous Employment in Public/Private Sector with Last Salary Drawn:

32. If the Candidate is a Current/Former Member of Armed Forces:

(A) Date of Enrolment/Employment:

(B) Details of Employment (Branch/Trade/Corps/Regiment

etc):

(C) Present Rank

. (D) Date and Details of Leaving Armed Forces (Photocopy of Certificate should be Attached):

33. Declaration:

(A). I do hereby solemnly declare that the abovementioned information is accurate and true to the best of my
knowledge and belief. I understand that I shall be liable to disciplinary action and cancellation of my application
by Bangladesh Air Force for any of my wrong, misleading or incomplete information given above; or any forgery
in respect of my educational certificates or marksheets. I am also aware that if any such wrongdoings are
revealed during training, I shall be liable for withdrawal from such training and make repayment of entire cost of
training imparted to me.

(B). I do hereby indemnify the officials involved to conduct examinations in respect of ‘Inter Services Selection
Board (ISSB)’ or ‘Selection Board at Air Headquarters’ event. I do further consider that such examinations and
.
events are mandatory requirement of recruitment process. As such, in case of injury or bodily harm (if any)
sustained by me during such examinations shall be considered as done in good faith.

Signature of Candidate

Date Full Name of Candidate

(FOR USE AT AIR HEADQUARTERS)

Remarks:

Date Signature: