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25 dvêyb, 1427
weÁwß bs: 17/2021 ZvwiL:
10 gvP©, 2021
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01| ‡eZb : gvwmK me©mvKz‡j¨ ‡eZb $2,00,000.00(UvKv `yB jÿ gvÎ)| D³ A‡_©i Dci cÖPwjZ
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(gm.hrd@bb.org.bd) AvMvgx 31/03/2021 Zvwi‡Li g‡a¨ ‡cÖiY Ki‡Z n‡e:

(A) Name (in block letters) :

(B) i) Father's / Husband's name :
ii) Mother's Name :
(C) Present Address with Contact No. :
(D) Permanent Address :
(E) Date of Birth :
(F) Age as on 01/03/2021 :
(G) Nationality :
(H) Educational Qualification :
Name of Exam. Division/Class/CGPA Board/University Year of Passing

(I) Date of Retirement :

(J) KPI Experience (in details) :
(K) Signature of the applicant :
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