DoS Copy

Application for Certificate of Proficiency

(Main Course Certificate)
Application ID: 122202021123068
Bangladeshi CDC/ID for Others : NCS008591

Name: Muhammad Saiful Islam Father's Name: Muhammad Harunur Rashid

Date of Birth: 10-02-1984 Birth Place: Jamalpur
Phone: 01914624643 Passport/NID: EB0956843
Present Address: 24/7 East Basabo, Basabo, Sabujbag, Dhaka-1214 Permanent Address: 24/7 East Basabo, Dhaka -1214, , Dhaka,

Sl Course Name Main Course DoS No. Result

1 ELEMENTARY FIRST AID 2021.06.041.0223983

DoS Comment:

02-02-2022
Application Date Candidate Signature Examiner Signature

Bank Use Only

Application ID:122202021123068

Application Fee for 1 Certificate 500.00

Processing Charge (Service Provider) 10.00
Total Payable: 510.00 Bank Signature & Seal

Please submit DoS, Bank & Candidate copies to Bank during payment and get these copies signed and sealed by
Bank. Then appear for examination. After examination submit the DoS copy to Counter.
 Candidate Copy
Application for Certificate of Proficiency
(Main Course Certificate)
Application ID: 122202021123068
Bangladeshi CDC/Id for Others : NCS008591

Name: Muhammad Saiful Islam Father's Name: Muhammad Harunur Rashid

Date of Birth: 10-02-1984 Birth Place: Jamalpur
Phone: 01914624643 Passport/NID: EB0956843
Present Address: 24/7 East Basabo, Basabo, Sabujbag, Dhaka-1214 Permanent Address: 24/7 East Basabo, Dhaka -1214, , Dhaka,

Sl Course Name Main Course DoS No. Result

1 ELEMENTARY FIRST AID 2021.06.041.0223983

DoS Comment:

02-02-2022
Application Date Candidate Signature Examiner Signature

Bank Use Only

Application ID:122202021123068

Application Fee for 1 Certificate 500.00

Processing Charge (Service Provider) 10.00
Total Payable: 510.00 Bank Signature & Seal

Please submit DoS, Bank & Candidate copies to Bank during payment and get these copies signed and sealed by
Bank. Then appear for examination. After examination submit the DoS copy to Counter.
 Bank Copy
Application for Certificate of Proficiency
(Main Course Certificate)
Application ID: 122202021123068
Bangladeshi CDC/Id for Others : NCS008591

Name: Muhammad Saiful Islam Father's Name: Muhammad Harunur Rashid

Date of Birth: 10-02-1984 Birth Place: Jamalpur
Phone: 01914624643 Passport/NID: EB0956843
Present Address: 24/7 East Basabo, Basabo, Sabujbag, Dhaka-1214 Permanent Address: 24/7 East Basabo, Dhaka -1214, , Dhaka,

Sl Course Name Main Course DoS No. Result

1 ELEMENTARY FIRST AID 2021.06.041.0223983

02-02-2022
Application Date Candidate Signature Examiner Signature

Bank Use Only

Application ID:122202021123068

Application Fee for 1 Certificate 500.00

Processing Charge (Service Provider) 10.00
Total Payable: 510.00 Bank Signature & Seal

Please submit DoS, Bank & Candidate copies to Bank during payment and get these copies signed and sealed by
Bank. Then appear for examination. After examination submit the DoS copy to Counter.
 Social Islami Bank Limited Branches with DoS fee payment Facility

List of SIBL branches for DoS Payme nt. The list is arranged in alphabetic order of the district name.

Sl
District Address of Branch & Mobile No
No

1 B Bagerhat Bagerhat Branch, 13. Khan Jahan Ali Road. Bagerhat Pourashava. Bagerhat.

Barishal Branch, Makka Bhaban,1 # Katpatty Road, Kotwali Model Thana,

2 Barishal
Holding No-1, Ward No-9Barishal Sadar, Barishal.

Bhola Branch, Social Islami Bank Ltd.“B.T. Square”Holding No. 899, Mahajan
3 Bhola
Patty, Sadar Road,Ward no. 6 Paurasava – Bhola, PS- Bhola, Dist- Bhola.

Bhairab Bazar Branch, Omar Faruq Tower”Holding no.169, Ward no.1

4 Bhairab
Paurasava- Bhairab, PS- BhairabDist.: Kishoregonj.

5 Bogura Bogura Branch, Bhandary Monjil, 776, Rangpur Raod, Borogola, Bogura.

Brahmanbaria Branch, Suvechha Square, Holding No-1309, Sarak Bazar,

6 Brahmanbaria
Thana+ Dist- Brahmanbaria.

Agrabad Branch, World trade Centre(2nd Floor) 102/103 Agrabad C/A,

7 C Chattogram
Chattogram.

Alankar Moor Branch, PC Road, Holding No-68(A),Chattogram City Corporation

8
P.O- Custom Academy, P.S- Pahartoly,Chattogram.

Anderkilla Branch, Arunaloy, Holding no.06, Momin Road, Road No. 06, Ward
9
no. 32 , Chattogram City Corporation, PS – Kotowali, Dist.- Chattogram.

Chawk Bazar Branch, 174/A, Chatteshawri Road,Mannan Tower(1st floor),

10
Gulzar Moor, P.O-ChawkBazar, P.S.- Katoali, Dist.-Chattogram.

GEC Moor Branch, (Opening Date-25.11.2009),1692, Golden Plaza, CDA

11
Avenue(1st floor)East Nasirabad, GEC Moor, Chattogram.

Halishahar Branch, Holding No.# 03, Port Connecting Road,Ward No. 25,
12
Chattogram City Corporation,PS- Halishahar, Chattogram.

Hathazari SME/Krishi Branch, 14Hazi M. Siddik Market,Bl15ock-B (2nd Floor),

13 Hathazari Bus Stand, Ward No-03,P.O & P.S – Hathazari, Upazilla- Hathazari,
Dist- Chattogram.

Jubilee Road Branch, Haque Market(1st Floor),610/11, Jubilee Road,

14
Chattogram.

15 Muradpur Branch, S.N. Meem City Holding No-83/86, Hathazari Road.

Sheikh Mujib Road Branch, AK Tower,Holding no.225/225A, Sheikh Mujib

16
Road, Chowmuhani Moor,PS- Double Mooring, Dist- Chattogram.

Shah Mohsen Awolia Branch, Hajee Imam Shopping Complex,Battali,

17
Anowara, Chattogram.

Agargaon Branch, Bangladesh Lions Foundation Bhaban,3/C, West Agargaon,

18
Begum Rokeya Sarani, Dhaka.

Chandpur Branch, Faisal Shopping Complex(1st & 2nd floor),Bishnudi,

19 Chandpur
Chandpur Bus Stand Thana- Chandpur, Dist- Chandpur.

Hajigonj Branch, Chattogram Mansion Building”, Holding No.0821, Chandpur-

20 Cumilla Highway Road, Ward-6, Hajigonj Paurasabha, PS+PO- Hajigonj, Dist-
Chandpur.

Cumilla Branch, 95/96 Chawk Bazar (2nd Floor),PO- Chawk Bazar, P.S-
21 Cumilla
Kotowali, Cumilla.

Muradnagar Branch, Noman Ahmed Market (1st Floor), Ward

22
No-01,Muradnagar, PS-Muradnagar,Dist-Cumilla.
Sl
District Address of Branch & Mobile No
No

Cox’s Bazar Branch, Evan Plaza (in front of Cox’s Bazar Paurashava),Thana
23 Cox’s Baza
Road, Cox’s Bazar.

Bashundhara Branch, House # 16, Block-A,Bashundhara Avenue.

24 D Dhaka
Bashundhara R/A, Dhaka-1229.

Banani Branch, 48 Kamal Attaturk Avenue, (Ground & 1st Floor),Banani,

25
Dhaka-1213.

Basila Road Branch, Al-Imdad Market Complex, Basila Road,Thana-Keranigonj,

26
Dist-Dhaka.

Banasree Branch, Plot No-2, Road-13, Block-L, South Bonosree, Eastern

27
Housing Ltd., Khilgaon, Dhaka.

Dakkhin Khan Branch, "Mozaffar Tower”, 595, Gawair (Prembagan, Dakkhin

28
Khan, Thana-Dakkhin Khan, Dist- Dhaka.

Dhanmondi Branch, House # 84, (Old-176), Road # 7/A (Old-14),Satmasjid

29
Road, Dhanmondi R/A, Dhaka.

30 Foreign Exchange Branch, Motijheel C/A, BIWTA Bhaban, Dhaka-1000.

Garib-E-Newaz Avenue Branch, Rosewood Areebah ,50, Garib -E- Neawaz

31
Avenue Road Sector-13, Uttara , Dhaka.

32 Gulshan Branch, 80, Gulshan Avenue, Gulshan-1, Dhaka-1212.

Kafrul Branch, Geater Mymensingh Samity Bhaban,Holding No. M/1-A,

33 Section-14, Mirpur Road Ward No. 4, Dhaka North City Corporation PS- Kafrul,
Dist.:Dhaka

34 Kawran Bazar Branch, Khansons Centre,37, Kawran Bazar, Dhaka.

Mirpur Branch, Rabeya Complex, Plot No-33, Block-Kha,Main Road (Goal

35
Chakkar-10), Mirpur, Dhaka.

Dinajpur Branch, Lilir Moor, Holding No-1191/1150,Mouza-Pranonathpur, P.O &

36 D Dinajpur
P.S -Dinajpur. Dist.- Dinajpur.

Mohakhali Branch, 99, Mohakhali C/A, 16 (sixteen) storied building, Dist:

37 E
Dhaka.

Nawabpur Road Branch, 82, Nawabpur Road (1st Floor),Nawabpur Road,

38
Dhaka.

39 New Eskaton Branch, 27, New Eskaton Road,P.S & P.O- Ramna, Dhaka-1000.

Savar Branch (Opening Date-27-11-2008), Yousuf Tower (2nd Floor), 35 Tatti,

40
Dilkhusha Bag, Savar Bus Stand, Savar, Dhaka.

Uttara Branch, Latif Emporium, Plot-27, Uttara C/A, Road # 7, Sector-3 .Uttara,
41
Dhaka-1230

Bhanga Branch, Ali Market, Holding No-363, Ward No-08,Bhanga Bazar,

42 F Faridpur
PS/Upazilla-Bhanga, Pouroshova-Bhanga, Dist.-Faridpur.

43 Feni Feni Branch, Grand Huq Tower(2nd Floor),Mizan Road, Dist.-Feni.

Joydebpur Chowrasta Branch, Rafeza Bhaban Holding- 23/3, Block-C, Ward

44 G Gazipur
No-17, Joydebpur Road, P.O + P.S-Joydebpur, Dist- Gazipur

Gobindagonj SME/Krishi Branch, Goleza Super Market (Highway Road)

45 Gaibandha Holding No-318, Ward No-6, Gobindagonj Paurasova, P.O & P.S -
Gobindagonj,Dist.- Gaibandha.

Bangabandhu Samadhi Soudha Branch, Biswas Plaza, Holding No-159, Ward

46 Gopalgonj
#7 Bangabandhu Samadhi Soudho Sarak, Tungipara,Dist: Gopalgonj .

Industrial Park Branch, “Sattar Plaza”, Olipur Bazar, 7 no. Nurpur Union
47 H Hobigonj
Parishad, PO- Shahjibazar, PS- Sayestagonj,Dist.: Hobigonj.
Sl
District Address of Branch & Mobile No
No

48 J Jhalakati Jhalakati Branch, 03, Doctorpatty Road, PS- Jhalakati Sadar,Dist: Jhalakati.

Jamalpur Branch, A. K Tower,285, Medical Road (Tomal Tola Moor),Jamalpur

49 Jamalpur
Sadar, Jamalpur

Jashore Branch, 36, Rail Road (Chowrasta), 2nd Floor,P.O.-Jashore, P.S.-

50 Jashore
Kotowali, Dist.-Jashore.

Kishoregonj Branch, 661, Mohammadi Mansion,Shahabuddin Mosjid

51 K Kishoregonj
Road,Borobazar P.O & P.S- kishoregonj.Kishoregonj

Boyra Branch, Khokan Shopping Complex,Holding No. 98, Mujgunni Main

52 Khulna Road, Ward No.16, Khulna City Corporation, PO- GPO-9000, PS: Sonadanga,
Dist: Khulna

Khulna Branch, 22, Sir Iqbal Road, G.M. Baksh Tower(Ground, 1st & 2nd floor)
53
Khulna City Corporation (Beside of Hotel Apayan).

Laxmipur Branch, Social Islami Bank Ltd.Holding # 297/1, N.S. Road, Ward# 3,
54 Kushtia
P.S- Kushtia Sadar, po-kushtia, Pourosova-Kushtia,Kushtia.

Laxmipur Branch, ADHUNIK PAURA BIPANI BITAN” (2nd Floor),Rehan Uddin

55 L Laxmipur Bhuiyan Road, Chawk Bazar,Word #6, Paurasava- Laxmipur,P.O & P.S-
Laxmipur, Dist- Laxmipur.

Madaripur Branch, Hazi Abdur Razzak Super Market Holding no. 1634, Main
56 M Madaripur Road, Puran Bazar, Ward no.03, Paursova- Madaripur, PO- Madaraba, PS-
Madaripur Sadar,Dist: Madaripur.

Mymensingh Branch, Ali Plaza (1st floor),64, Choto Bazar, Muktijodda Sarani
57 Mymensingh
Road P.S- Kotwali (Sadar),Mymensingh

Naogaon Branch, Mufuza Plaza, Naogaon Paurasava (Sonali Bank Road) Vill-
58 N Naogaon
Qazipara, Dist-Naogaon.

Netrokona Branch, Aleya Plaza, Holding No-0245-02, ward#2,Satpai College

59 Netrokona
Road, Netrokona.

Chowmuhoni Branch, Hossain Market,246-249, 264-271 Karimpur Road

60 Noakhali
Chowmuhani Powrosova,Begumgonj, Noakhali

Narayangonj Branch, 3 ,No. S. M. Maleh Road (Rupsi Height),Tanbazar, PO-

61 Narayangonj
Narayangonj, PS- Narayangonj Sadar,Dist.- Narayangonj.

Sonargaon Branch, Haji Jalal Tower (1st floor), Mogra Para,Sonargaon,

62
Narayangonj.

Narsingdi Branch, 360, Rajlaxmi Plaza, Patilbari Road, Genjipotty, PO & PS-
63 Narsingdi
Narsingdi, Ward-04, Narsingdi Paurasova, Dist- Narsingdi.

Kalia Branch, Social Islami Bank Limited,Gazi Super Market,Kalia – Khulna

64 Narail
Road, Ward no. 02, Paurasava- Kalia, PS- Kalia.

Sayedpur Branch, Altaf Tower (Ground Floor),Holding # 07, Shahid Dr. Zikrul
65 Nilphamari
Haque Road P.O & P.S- Sayedpur, Sayedpur, Dist: Nilphamari

Pabna Branch, Abdul Hamid Road, P.O & P.S- Pabna,Holding No-0118-000,
66 P Pabna
Ward No-02 Dist.- Pabna.

Safa Bandar Branch, M A Sayed Bhaban,Safa Bandar Bus Stand,Ward No. 02,
67 Pirojpur
Safa Bazar, Union: Dhani Safa, PO: Safa Bandar, PS: Mothbaria, Dist.: Pirojpur.

Rajshahi Branch, A H Tower, Holding No-328-331 & 333-336. Alokarmore, New

68 R Rajshahi
Market Road,Thana-Boalia, Rajshahi.

Rangpur Branch, 286,Shah Bari Tower, Station Road (Guptapara),Ward No-9,

69 Rangpur
P.O-Rangpur, P.S- Kotwali, Dist-Rangpur.

Shariatpur Branch, KB Plaza, Holding no. 276, Palong Maddhabazar Road,

70 S Shariatpur
Ward no. 04, Paurasava –Shariatpur, PS-Sariatpur Sadar, Dist: Shariatpur.
Sl
District Address of Branch & Mobile No
No

Sherpur Branch, Jamshed Mansion,Holding No.209, Munshi Bazar, Kharampur

71 Sherpur
Moor, Ward No. 02, Paurasava – Sherpur, PS- Sherpur Sadar, Dist.: Sherpur.

Satkhira Branch, London Plaza (1st floor), Boro Bazar Road P.S. & P.O-
72 Satkhira
Satkhira, Dist.- Satkhira.

73 Sirajgonj Sirajgonj Branch, Zaman Complex,S.S. Road, P.code-6700, Sirajgonj.

74 Sylhet Sylhet Branch, 781, Karima Mansion, Dargah Gate,Sylhet-3100.

Moulvibazar Branch, 183 Shamsher Nagar Road, Chowmohana,

75
Moulvibazar,IP Phone-78201, 78202

76 T Tangail Tangail Branch, Shayama Tower" ,Boro Kalibari Road,Adalotpara, Dist-Tangail.