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NNGCECXTIA

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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: NNGCECXTIA Ref: 04-19/2023 | Last Date: 10 March 2023

Registration No 001031
Post Name Sub Assistant Engineer (Electric)
Exam Centre DHAKA
Applicant's Name MD. SOHANUR RAHMAN
Father's Name MD. REZAUL KORIM
Mother's Name MST. HASINA KHATUN
Date of Birth 20 May 2000 [22 Years 8 Month(s) 13 Day(s)]
Gender Male

Freedom Fighter Status Non Freedom Fighter Ethnic Minority No


Marital Status Single Physically Handicapped No
Nationality/NID Bangladeshi/3310036565 Home District Kushtia

Present Address: Permanent Address:


Care of: MD. REZAUL KORIM Care of: MD. REZAUL KORIM
Village/Town: Gongarampur Village/Town: Gongarampur
Post Office: Taragunia Post Office: Taragunia
Post Code: 7051 Post Code: 7051
Upazilla/Thana: Daulatpur Upazilla/Thana: Daulatpur
District: Kushtia District: Kushtia

Academic Qualifications:

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

S.S.C Jessore Science 4.68 2017 119443 N/A


Diploma in
Technical Electrical Technology 3.85 2021 915713 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.

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

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