ASHUGANJ POWER STATION COMPANY LIMITED Doc .No.

SF-HRM-05
Revision No- 01

(An Enterprise of Bangladesh Power Development Board) Effective Date: 01/06/2003

Ashuganj, Brahmanbaria-3402, Bangladesh

Phone: +88-08528-74044, Fax: +88-08528-74014,
E-mail: apscl@apscl.com, apsclbd@yahoo.com, Website: www.apscl.com

Application Form- ID Card

Photograph

NAME : ............................................................................................................

DIVISION : ............................................................................................................

OFFICE (Please Tick) : Corporate/Mechanical/Electrical/Operation/Finance/Project

IN BLOCK LETTER AS S.S.C CERTIFICATE / SERVICE BOOK

DESIGNATION : ........................................................................................................

FATHER’S NAME : ........................................................................................................

MOTHER’S NAME : ........................................................................................................

PRESENT ADDRESS : ........................................................................................................

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PERMANENT ADDRESS : ........................................................................................................

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BLOOD GROUP : ........................................................................................................

CONTACT NO. : ........................................................................................................

DATE OF BIRTH : ........................................................................................................

FOR OFFICE USE ONLY

ID NO. : ........................................................................................................

ISSUE DATE : ........................................................................................................

SIGNATURE & DATE