Government of the People's Republic of Bangladesh

Applicant's Copy
Department of Social Services [DSS]

User ID: RCNBIWJOXY Ref: 41.01.0000.009.11.003.2021-878 , Date: 09/06/2024

Post Name Samaj Kormi (Union)

Applicant's Name KISHOR
Father's Name MOTINDRO SIKDAR
Mother's Name SUKONNA RANI
Date of Birth 16 June 2002 [21 Years 11 Month(s) 27 Day(s)]
Birth Reg/NID No / 5111906698
Home District Barguna

Blood Group: O+ Religion: Hinduism Gender: Male Ethnic Minority: None

Orphan: None Ansar/VDP: None Mujibnagar: None Physically Handicapped: None
Freedom Fighter None
Marital Status Single
Present Address: Permanent Address:
Care of: MOTINDRO SIKDAR Care of: MOTINDRO SIKDAR
Village/Town: Sorishamuri Village/Town: Sorishamuri
Post Office: Vora Post Office: Vora
Post Code: 8740 Post Code: 8740
Upazilla/Thana: Betagi Upazilla/Thana: Betagi
District: Barguna District: Barguna

Academic Qualifications:

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

S.S.C Barisal Business Studies GPA 3.83 2019 424045 N/A

H.S.C Barisal Business Studies GPA 4.50 2021 412909 N/A
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 Recruitment
Authority including cancellation of my candidature.

-------------- Applicant's Signature --------------

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