BAF Form 510 (Amended)

Roll No A-22177417
Trade Technical

APPLICATION FORM FOR JOINING BANGLADESH AIR FORCE AS AIRMEN

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): JUBAID HOSSAIN Gender : Male

2. Father’s Name: MD SUKUR MONDOL Mobile No: 01988414290

Nationality: BANGLADESHI National ID No: 4621574906

3. Mother’s Name MST MORIUM BEGUM Mobile No: 01611964681

Nationality: BANGLADESHI National ID No: 5521549369

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

. House No/Village MAHESHPUR Road No N/A

. P.O. MAHESHPUR Post Code 7340
. P.S. MAHESHPUR District Jhenaidah

5. Permanent Address:

. House No/Village MAHESHPUR Road No N/A

. P.O. MAHESHPUR Post Code 7340
. P.S. MAHESHPUR District Jhenaidah

6. Father’s Profession: BUSINESS Monthly Income: 10,000

. Father's Educational Qualifications: Nill

7. Guardian’s Name (if Other than Father): MST MORIUM BEGUM Relation: MOTHER
. Profession: HOUSE WIFE Monthly Income: N/A Mobile: 01611964681

. Address: House No/Village MAHESHPUR Road No N/A P.O. MAHESHPUR

. P.S. MAHESHPUR District Jhenaidah

8. a. Candidate’s Nationality: BANGLADESHI

. b. Candidate’s National ID No (If applicable): N/A

. c. Candidate’s Birth Registration No: 20024426606037417

9. a. Date of Birth (as per SSC Certificate) 2002-11-16 00:00:00

. b. Age (according to the date of notice): Year 2002 Month 11 Day 16

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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10. Candidate’s Mobile No: 01887272426

11. Religion: Islam Sect/Caste: N/A

12. Marital Status (Unmarried/Married/Divorced): Unmarried

13. Details of Employment prior to this Application:

. a. If Student, Name of School/College/University: Moheshpur Govt. Degree Collage
. b. If Employed, Name of Employer, Appointment, Salary (Please attach No Objection Certificate):
.

14. Educational Qualifications:

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

a. PECE/Equivalent

b. JSC/Equivalent

MAHESHPUR
GOVT. PILOT
c. SSC/Equivalent JESSORE 2020 3.11
MODEL HIGH
SCHOOL

d. HSC/Equivalent

Bachelor’s
e.
Degree/Equivalent

Master’s
f.
Degree/Equivalent

15. Email ID (if available):

16. Passport No (if applicable): Expiry Date:

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

Name of Individual/Team Position in the Competition (Please add

Details of Games/Sports Year
Institute Photocopy of Certificate/Medal, if any)

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

Serial Rank Name Working Place Relation Mobile No

a.

b.

c.

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19. Activities of the Candidate within last one year:

20. Declaration:

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 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.

Signature of the Candidate:

Date Full Name of the Candidate:

Note: Please bring printout of this form along with photocopies of certificates as per circular and 12 copies of Passport
Size Photos (Lab print in matt paper). Please remember the Roll No for use at different stages of recruitment process.

(FOR USE AT BAF INFORMATION AND SELECTION CENTER)

Remarks:

Officer Commanding
Date
BAF Information and Selection Center

(FOR USE AT AIR HEADQUARTERS)

Remarks:

Director
Date
Directorate of Recruitment

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