Medical Education and Family Walefare Division, Ministry Of Health and Family Welfare

Directorate General of Family Planning

Applicant Form(Applicant's Copy)

User Id: XM3H6B Ref:59.11.0000.152.11.002.20-2072, Date:28-10-2020

Name of the post Office Sohayok

Applicant's Name UMME KULSUM
Father's Name MD. DAUD ISLAM
Mother's Name AKTHER JAHAN
Date Of Birth 1998-09-23 (21 Years 6 Months 3 Days)
Place of birth Noakhali
Gender Female
Nationality Bangladeshi
National ID 2699225000246
Birth Registration N/A
Passport ID N/A
Religion Islam
Marital Status Single
Quota Non Quota
Contact Mobile 01715624867
E-mail prityislam844@gmail.com
Home District Noakhali
Address Information:
Mailing/Present Address Permanent Address
Care Of MD. DAUD ISLAM Care of MD. DAUD ISLAM
Village/Town/Road/ House/Flat 328/B, East Nakhalpara Village/Town/Road/ House/Flat Lautali
District Dhaka District Noakhali
P.S./Upazila Tejgaon P.S./Upazila Begumganj
Post Office Tejgaon Post Office Somirmunshir Hut
Post Code 1215 Post Code 3820
Academic Qualifications:
Examination Board/Institute Group/Subject/Degree Result Year Roll Duration
GPA 4.31
S.S.C Dhaka Science 2014 130885 N/A
Out of 5
GPA 4.83
H.S.C Dhaka Science 2016 128483 N/A
Out of 5

Departmental Candidate Status 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 Signature ----

Congratulations!! Application Submitted Successfully.

Your User ID:XM3H6B, Please keep this number to pay the application fee within 2020-12-02 23:02:42[YYYY-MM-DD hrs:min:sec] from any
Teletalk prepaid mobile phone by SMS.

1st - SMS Format: DGFP < space > < User ID > and send SMS to 16222
[Example : DGFP XM3H6B]. 1st-SMS Reply: Returns a PIN (8 Digits) like 13423495
2nd - SMS Format: DGFP < space > < YES > < space > < PIN > and send SMS to 16222
[Example : DGFP YES 13423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD

N.B: Please preserve the User ID & Password. You will need User ID & Password to download Admit card.
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