Department of Social Services(DSS) Applicant's Copy

Application Form

User ID: LAANSI Ref: 41.01.0000.009.11.022.17-577

Post Name Somajkormi [(Union ) (Shthai Rajasow)]

Applicant's Name MD. ARIF HOSSAIN KHAN
Father's Name MD. MONIR HOSSAIN KHAN
Mother's Name NAZMA BEGUM
Date of Birth 1991-08-16 [YYYY-MM-DD] 26 Years 10 Months -14 Days
Contact Mobile: 01556362273 | email: arif_khan00987@hotmail.com
Gender Male
Religion Islam

National ID 19912692858000464 Marital Status Single

Freedom Fighter Non Freedom Fighter Orphan No
Physically Challenged No Tribal No
Anser - VDP No
MD. MONIR HOSSAIN KHAN MD. MONIR HOSSAIN KHAN
Shatnol Shatnol
Chandpur Chandpur
Mailing/Present Address Permanent Address
Uttar Matlab Uttar Matlab
Shatnol Bazar Shatnol Bazar
3643 3643
Academic Qualifications:

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

S.S.C Dhaka Commerce 3.75 (GPA-5) 2006 408618 NA

H.S.C Dhaka Humanities 3.80 (GPA-5) 2008 304112 NA
Honours National University Political Science/Govt. and Politics 2 (DIV) 2013 NA 4

Computer Literacy/Trade Course:

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

LAANSI is your User ID, Please keep this number to pay the application fee within 2018-07-31 15:33:30[YYYY-MM-DD hrs:min:sec] from any Teletalk
prepaid mobile phone by SMS.
1st - SMS Format: DSS <space> <User ID> and send SMS to 16222
[Example : DSS LAANSI]. 1st-SMS Reply: Returns a PIN (8 Digits) like 23423495
2nd - SMS Format: DSS <space> <YES> <space> <PIN> and send SMS to 16222
[Example : DSS YES 23423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD

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