Government of the People's Republic of Bangladesh

Bangladesh Public Service Commission Applicant's Copy

Application Form for Non-Cadre Examination [BPSC Form - 5 A]
Application for Ministry of Railways

User ID: NQKTJOIZYZ Ref: 04-19/2023 | Last Date: 07 March 2023

Post Name Sub-Assistant Engineer (Signal/Telecommunication)

Exam Centre DHAKA
Applicant's Name MD. MANIK MIA
Father's Name MD. SHOHIDUL ISLAM
Mother's Name MST. MAZEDA KHATUN
Date of Birth 28 November 1998 [24 Years 2 Month(s) 4 Day(s)]
Gender Male

Freedom Fighter Status Non Freedom Fighter Ethnic Minority No

Marital Status Single Physically Handicapped No
Nationality/NID Bangladeshi/1954963441 Home District Bogura

Present Address: Permanent Address:

Care of: Md. Shohidul Islam Care of: Md. Shohidul Islam
Village/Town: Shehuliabari/Shahajipur Village/Town: Shehuliabari/Shahajipur
Post Office: Khatiamari Post Office: Khatiamari
Post Code: 5841 Post Code: 5841
Upazilla/Thana: Dhunat Upazilla/Thana: Dhunat
District: Bogura District: Bogura

Academic Qualifications:

Examination Board/Institute Group/Subject/Degree Result Year Roll Duration

S.S.C Rajshahi Business Studies 5.00 2014 814402 N/A

Diploma in
Technical Electrical Technology 3.42 2019 209593 N/A
Engineering/Diploma

Enclosure: [Attested Certificates/Equivalent Certificates to be Submitted Later According to Tick Mark]

01. Recent Passpost Size Photograph | 02. Admit Card | 03. S. S. C. or Equivalent Certificate | 04. H. S. C. or Equivalent Certificate | 12. National ID |
I declare that the information provided in this form are correct, true and complete to the best of my knowledge and belief. If any information is found
false, incorrect, incomplete or if any ineligibility is detected before or after the examination, any action can be taken against me by the Commission
including cancellation of my candidature.

-------------- Applicant's Signature --------------

Congratulations!! Application Submitted Successfully

NQKTJOIZYZ is your User ID, Please keep this number to pay the application fee within 8:48:53 PM, 05 March 2023 from any
Teletalk prepaid mobile phone by SMS.
1st - SMS Format: BPSC <space> <User ID> and send SMS to 16222
[Example : BPSC NQKTJOIZYZ]. 1st-SMS Reply: Returns a PIN (8 Digits) like 23423495
2nd - SMS Format: BPSC <space> <YES> <space> <PIN> and send SMS to 16222
[Example : BPSC YES 23423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD
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