BAF Form 20227 (Amended)

Roll No O1203272

APPLICATION FORM FOR JOINING BANGLADESH AIR FORCE AS OFFICER CADET

Please fill up all fields with correct information. Candidate must bring the filled-up form to exam center for use as
admission card.

1. Full Name (in Block Letter): ALEX ALBERT Gender Male

2. Permanent Address:

. House No/Village House No. 361 (New) Road No Band Road

. P.O. Barishal Head Post Office Post Code 8200
. P.S. P.S. Kotwali District Barisal

3. Present Address (for correspondence with the applicant):

. House No/Village House No. 18 Road No Greenway Road

. P.O. Shantinagar Post Office Post Code 1217
. P.S. P.S. Hatirjheel Police Station District Dhaka

4. Telephone/Mobile No: 01795355817

5. Candidate’s Branch Preference(in order of priority):

a. Admin Recommended for

ISSB
b. . .
Signature_____________
c. . Recruiting Officer

6. National Identity Card and Birth Registration No:

National Identity Card No 6870291165

Birth Registration No 20031591631104339

Warning:
(1) Any communication made with fraud or dishonest person for recruitment purpose will be treated as ineligibility of
the candidate to join Bangladesh Air Force.
(2) Incomplete application form will be treated as ineligible.

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7. A) Date of Birth (as per SSC Certificate): 15 - 07 - 2003

. B) Age (as per date mentioned in Circular): Year 17 Month 12 Day 12

. C) Home District: Barishal

8. Religion: Christianity Sect / Caste Catholic For use by ISSB

9. Identification Mark : Mole on right side of the nose Index No_____________

Board No ____________
10. Email ID alexalbertankon@yahoo.com
Recommendation _____
11. Marital Status (Unmarried/Married/Divorced): Unmarried Signature_____________
. No of Children (If applicable): N/A ISSB

12. Father’s Name and Description

Name and National ID No: Address Educational Qualification Profession Mobile No

Late Abraham Albert (NID no.

N/A Bachelor of Science Service Holder N/A
3720304330)

13. Mother’s Name and Description

Name and National ID Educational

Address Profession Mobile No
No: Qualification

Daisy Albert (NID no. 18 Greenway Road, Bachelor of Social

House Wife 01834842363
6870291165) Boro Moghbazar, Dhaka. Science

14. Father-in-Law’s Name and Description (if applicable):

Name and National ID

Address Educational Qualification Profession Mobile No
No:

N/A N/A N/A N/A N/A

15. Mother-in-Law’s Name and Description (if applicable):

Name and National ID

Address Educational Qualification Profession Mobile No
No:

N/A N/A N/A N/A N/A

16. Guardian’s Name and Description (if other than Father):

Name and National ID Educational

Address Profession Mobile No
No: Qualification

Daisy Albert (NID no. 18 Greenway Road, Bachelor of Social

House Wife 01834842363
6870291165) Boro Moghbazar, Dhaka. Science

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17. Father/Guardian’s Annual Income, Income Tax and other Land Revenue/Tax Paid:

Father / Guardian's Annual Income Annual Income Tax Paid Land Revenue/Tax Paid

N/A N/A N/A

18. Details of Relatives Serving or Retired from Armed Forces & Relation with Candidate:

Serial Name Rank Address Relation Mobile No

A) N/A N/A N/A N/A N/A

B) N/A N/A N/A N/A N/A

C) N/A N/A N/A N/A N/A

D) N/A N/A N/A N/A N/A

19. Details of two Prominent Personalities who have Close Relation with the Candidate:

Serial Name Profession Address Relation Mobile No

House No. 137, Road 1,

Anthony
A) Ophthalmologist Baridhara DOHS, Uncle 01714162879
Albert
Baridhara, Dhaka.

Liton Cordial Homes, 354 Dilu

B) Adhikary Songwriter Road (Post Office Goli), Uncle 01712184700
Rintu Moghbazar, Dhaka.

Name, Address, Mobile No and Profession of Close Relatives:

20.
(A) Siblings (Brothers and Sisters):

Name Relation Address Education Profession Mobile No

Studying Bachelor of
18 Greenway Road,
Allen Architecture, Bangladesh
Brother Boro Moghbazar, Student 01831568815
Albert University of Engineering
Dhaka.
and Technology

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A

N/A N/A N/A N/A N/A N/A

(B) Paternal and Maternal Uncle and Aunty:

Name Relation Address Education Profession Mobile No

Master of Fine
Late John Parental
N/A Arts, Dhaka Designer N/A
Albert Uncle
University.

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 House No. 137,
MBBS, DO,
Anthony Parental Road 1, Baridhara
MCPS, M.Sc Ophthalmologist 01714162879
Albert Uncle DOHS, Baridhara,
(London)
Dhaka.

Garopara Village,
James Maternal
Sripur, Gazipur, SSC Businessman 01967625656
Mcfield Uncle
Dhaka.

Garopara Village,
William Maternal
Sripur, Gazipur, SSC Businessman 01717349987
Mcfield Uncle
Dhaka.

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 Details of two Govt/Non-Govt Officials having Equivalent Status of 9th Grade or Above
21.
(not relative of the candidate, having good knowledge about the candidate):

Serial Name Profession Address Mobile No

Lecturer, Department of Flat-5/A, NTA House, Block-B,

Md. Shariful
(A) Information & Communication Shital Jharna Residential Area, 01989793433
Alam
Technology Oxygen, Chattogram.

Sofia House No. 415, Block-B, Road

Lecturer, Department of
(B) Sultana 10, Chandgaon Residential 01676403578
Bengali Literature
Tonwee Area, Chattogram.

Concealment of truth will be considered as ineligibility of a candidate.

Please think before and give correct information to Paragraph No 22, 23, 24, 25, 26, 27, 28 and 29.

22. Educational Qualification:

Name of Year
Serial Education Institute Board/University Group GPA/CGPA
Exam Passed

Saint Placid's
A) PECE Chattogram N/A 2012 4.75
School & College

Saint Placid's
B) JSC Chattogram N/A 2015 4.85
School & College

SSC/‘O’ Saint Placid's Business

C) Chattogram 2018 4.50
Level School & College Studies

Chattogram
Business
D) HSC/‘A’ Level Cantonment Chattogram 2020 4.83
Studies
Public College

Bachelor’s
E) N/A N/A N/A N/A N/A
Degree

Master’s
F) N/A N/A N/A N/A N/A
Degree

23. Break of Study with Reasons (if applicable)

24. Expertise in the field of Games and Sports (if applicable):

Individual/Team Position in the Competition

Details of
Name of Institute Year (Please add Photocopy of Certificate/Medal, if
Games/Sports
any)

Saint Placid's School &

Basketball 2017 Champion
Collegeh

Chattogram Cantonment
Basketball 2019 Champion / Best Player
Public Collegeh

25. Hobby Playing Guitar

26. Details of Surgical or Eye Procedures (If candidate has undergone any) N/A

27. (A) Description of ISSB in which the candidate participated for commission in any branch of Armed Forces (if any):

Final Result at Army/Navy/Air Force

ISSB
Headquarters

Date Batch No Result (Recommended/Screened Out/Rejected)

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 N/A N/A N/A N/A

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B) Details of Application to join Army/Navy/Air Force as Officer/Sainik/MODC or Equivalent (if applicable):
. N/A

If the candidate joined in any branch of Armed Forces earlier (duration of staying and result of candidate),
(C). description of that:

. N/A

28. (A) Nationality Bangladeshi

. (B) Was the Candidate born within Territorial Boundary of Bangladesh? Yes
. (C) Nationality of Father of the Candidate: Bangladeshi
. (D) Nationality of Mother of the Candidate: Bangladeshi

. (E) If Father/Mother of the Candidate is not Bangladeshi by Birth:

. . (I) Date of Arrival in Bangladesh N/A

. . (II) Country from which they Arrived in Bangladesh N/A

. . (III) If the Citizen of another Country before, name of Province/State

. . . N/A

. . (IV) Countries Visited (with reason) after Arrival in Bangladesh

. . . N/A

29. Passport No and Validity (if applicable): EF0359916 (Valid till- 22 February, 2025)

30. Information on Criminal Case of the Candidate (if applicable):

. (A) Is the Candidate Accused in any Criminal Court (Yes/No)? No

. If answer is ‘Yes’, present state of the case with details
. (B) Is the Candidate Convicted by any Criminal Court (Yes/No)? No
. If answer is ‘Yes’, details of the case

31. Details of Previous Employment in Public/Private Sector with Last Salary Drawn:
N/A

32. If the Candidate is a Current/Former Member of Armed Forces:

(A) Date of Enrolment/Employment: N/A

(B) Details of Employment (Branch/Trade/Corps/Regiment etc): N/A
(C) Present Rank N/A

. (D) Date and Details of Leaving Armed Forces (Photocopy of Certificate should be Attached):

N/A

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33. Declaration:

(A). I do hereby solemnly declare that the abovementioned information is accurate and true to the best of my
knowledge and belief. I understand that I shall be liable to disciplinary action and cancellation of my application by
Bangladesh Air Force for any of my wrong, misleading or incomplete information given above; or any forgery in
respect of my educational certificates or marksheets. I am also aware that if any such wrongdoings are revealed
during training, I shall be liable for withdrawal from such training and make repayment of entire cost of training
imparted to me.

(B). I do hereby indemnify the officials involved to conduct examinations in respect of ‘Inter Services Selection
Board (ISSB)’ or ‘Selection Board at Air Headquarters’ event. I do further consider that such examinations and
.
events are mandatory requirement of recruitment process. As such, in case of injury or bodily harm (if any)
sustained by me during such examinations shall be considered as done in good faith.

Signature of Candidate
Date Full Name of Candidate

(FOR USE AT AIR HEADQUARTERS)

Remarks:

Date Signature:

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