National Security Intelligence (NSI) Applicant's Copy

Application Form

User ID: BAVTJN Ref: Ref No: 4401/130-76(Personnel)-13, Date: 23/12/2016

Post Name Assistant Director

Exam Centre DHAKA
Applicant's Name MD. MOMINUL HAQUE MONIR
Father's Name MD. ABDUL HAI MONDAL
Mother's Name MOST. AFIFA BEGUM
Date of Birth 1987-07-20 [YYYY-MM-DD] 29 Years 5 Months 12 Days
Contact Mobile: 01676322110 | email: mominul_hq@yahoo.com
Gender Male
Religion Islam

National ID 3218847361296 Marital Status Single

Freedom Fighter Child of Freedom Fighter Orphan No
Physically Challenged No Tribal No
Anser - VDP No

MD. ABDUL HAI MONDAL

House-7/1, Road-4, Block-H, South
Jumarbari
Banasree
Gaibanda
Mailing/Present Address Dhaka Permanent Address
Saghatta
Khilgaon
Jumarbari
Rampura
5750
1219
Academic Qualifications:

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

S.S.C Rajshahi Science 4.88 (GPA-5) 2003 147070 NA

H.S.C Dhaka Science 5.00 (GPA-5) 2005 104079 NA
B.B.A Darul Ihsan University Accounting 3.81 (GPA-4) 2010 NA 4

Computer Literacy/Trade Course : NA

Extra Curricular : NA

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 Authority
including cancellation of my candidature.

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

Congratulations!! Application Submitted Successfully

BAVTJN is your User ID, Please keep this number to pay the application fee within 2016-12-31 01:41:54[YYYY-MM-DD hrs:min:sec] from any Teletalk
prepaid mobile phone by SMS.
1st - SMS Format: NSI <space> <User ID> and send SMS to 16222
[Example : NSI BAVTJN]. 1st-SMS Reply: Returns a PIN (8 Digits) like 23423495
2nd - SMS Format: NSI <space> <YES> <space> <PIN> and send SMS to 16222
[Example : NSI YES 23423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD
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