Medical Education and Family Walefare Division, Ministry Of Health and Family Welfare

Directorate General of Family Planning

Applicant Form(Applicant's Copy)

User Id: R7NGA8 Ref:59.11.0000.152.11.002.20-696,Date:10-03-2020

Name of the post Family Welfare Visitor (FWV)

Applicant's Name MST. YASMIN BEGOM
Father's Name MD. HOSEN MIRZA
Mother's Name MST. NASIMA BEGOM
Date Of Birth 1993-12-30 (26 Years 2 Months 3 Days)
Place of birth THAKURGAON
Gender Female
Nationality Bangladeshi
National ID 19938514227000509
Birth Registration N/A
Passport ID N/A
Religion Islam
Marital Status Married
Quota Non Quota
Contact Mobile 01750520773
E-mail saidmala2092@gmail.com
Home District Rangpur
Address Information:
Mailing/Present Address Permanent Address
Care Of MD. SAIDUL ISLAM Care of MD. SAIDUL ISLAM
Village/Town/Road/ House/Flat Taluksahabaz Village/Town/Road/ House/Flat Taluksahabaz
District Rangpur District Rangpur
P.S./Upazila Kaunia P.S./Upazila Kaunia
Post Office Kaunia Post Office Kaunia
Post Code 5440 Post Code 5440
Academic Qualifications:
Examination Board/Institute Group/Subject/Degree Result Year Roll Duration
GPA 5.00
S.S.C Dinajpur Science 2010 160544 N/A
Out of 5
GPA 5.00
H.S.C Dinajpur Science 2012 112911 N/A
Out of 5
Hajee Mohammad Danesh
CGPA 3.82
B.Sc (Agricultural Science) Science & Technology Agriculture Science 2018 N/A 4 years
Out of 4
University

Departmental Candidate Status N/A

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
Authority including cancellation of my candidature.

---- Applicant Signature ----

Congratulations!! Application Submitted Successfully.

Your User ID:R7NGA8, Please keep this number to pay the application fee within 2020-03-28 10:53:07[YYYY-MM-DD hrs:min:sec] from any
Teletalk prepaid mobile phone by SMS.

1st - SMS Format: DGFP < space > < User ID > and send SMS to 16222
[Example : DGFP R7NGA8]. 1st-SMS Reply: Returns a PIN (8 Digits) like 13423495
2nd - SMS Format: DGFP < space > < YES > < space > < PIN > and send SMS to 16222
[Example : DGFP YES 13423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD

N.B: Please preserve the User ID & Password. You will need User ID & Password to download Admit card.
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