Government of the People's Republic of Bangladesh

Department of Agricultural Extension (DAE)

Khamarbari, Farmgate, Dhaka-1215
Web:http://www.dae.gov.bd
Government of the People's Republic of Bangladesh
Department of Agricultural Extension (DAE)
Khamarbari, Farmgate, Dhaka-1215
Web:http://www.dae.gov.bd
Application Form(Applicant's Copy)

User ID: QRPX7F Ref: 12.01.0000.38.11.002.2017-6424 Date: 11 June, 2017

Post Name
Applicant's Name
Father's Name
Mother's Name
Date of Birth
Contact Mobile
E-Mail
Gender
Religion
Quota
Home District

Security Guard/Office Guard

MD.TARIKUL ISLAM
MD.RAHMAT ALI
MERINA BEGUM
30/11/1994 [DD/MM/YYYY](22 Years 6 Months 14 Days)
01723018092
N/A
Male
Islam
Child of Freedom Fighter
Thakurgaon

National ID 1994941943600215 Passport ID N/A

Birth Registration 19949419436000065 Marital Status Single
Address Information:

Mailing/Present Address Permanent Address:

Care of: MD.RAHMAT ALI Care of: MD.RAHMAT ALI
Village/Town/Road/House/Flat: DEBIPUR Village/Town/Road/House/Flat: DEBIPUR
P.S./Upazila: Thakurgaon Sadar P.S./Upazila: Thakurgaon Sadar
Present Post Office: K.K.BARI Permanent Post Office: DEBIPUR
Present Post Code: 5100 Permanent Post Code: 5100
Present District Thakurgaon Permanent District Thakurgaon
Academic Qualifications:
Examination Board/Institute Group/Subject/Degree Result Year Roll Duration
S.S.C Dinajpur Humanities 2.00 (GPA-5) 2012 346958 NA
Departmental Candidate : 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 Authority
including cancellation of my candidature.

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

Congratulations!! Application Submitted Successfully.

Your User ID is:QRPX7F, Please keep this number to pay the application fee within
2017-07-13 19:23:46[DD-MM-YYYY hrs:min:sec] from any Teletalk
prepaid mobile phone by SMS.
1st - SMS Format: DAE <space> <User ID> and send SMS to 16222

[Example : DAE QRPX7F]. 1st-SMS Reply: Returns a PIN (8 Digits) like 23423495

2nd - SMS Format: DAE <space> <YES> <space> <PIN> and send SMS to 16222

[Example : DAE YES 23423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD

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