People's Republic of Bangladesh

Finance Division, Ministry of Finance

Automated Challan (A-Challan) System
User Registration Form
[For National Board of Revenue (NBR) Only]

To be Completed by User (Applicant)

Office Name

Circle :
I
Office Address
Upazilla/Thana bVral{a. District: }$6\ts4
User's lnformation
Full Name (English) Jrl-ltc,,,n flcSVql
Full Name (Bangla) ke{qa Cfr F"r
Designation DqCnt.tX Cc m fi6!it?1o K e{' lcilz5
National lD No, SLLq 7g tbb q Date of Birth 69- oE - t9g?
EmaillD. I Trricqnshel-pdd'u #?w.rt r.071. Cell Phone No,

Signature (Applicant) Date

User Type
tr Report View

To be Completed by Head of Circle Office/Department

Name rnTa3.) llossa.in
Designation f:epif-ty €aru"r"-r'fS6lryneal oVY
6l;+42
6 Signature & Seal
1.aloi
(=:q<r{
Cell Phone No. ol+r7 - 6qr6ry{)
tifqqnaAfrrf.11g
E-maillD t rtzatqshehi rl.ekfi, @ di'6; I" &Y'1 rFJ rTlur[ttr>o > (q-{EFfiA!,
<F! q€<r ttYl I
To be Completed by Tax Commissioner c|rFI t,^el))bqt*-r\-
Name of the Commissioner I'rd, lt'1
Designation Co-nn m i t! CN!RC
Name of the Zone S Zr)n?-- \ Signature & Seal ,J'
Cell Phone No.
(qlT
E}3
E-maillD tnL' uO 00, lFlt qqqtr.-c
To be Administrator of the Head Office
Allofted User Login lD
Created By (Name)
Signature & Seal
nation
Date of Creation

NB. (1)Foranyqueries please contact SPFMS Helpdesk TeI.0255{10546-55, atThe Institution ofEngineers, Bangladesh (lEB), {5.d
Floor), Ramna, 0hata,
 \

Use of this Form

ihe c':':s: l'ins io-'rr is to !'egister the required access to Automated Challan
System (ACS), Allusers who need to use
.r,ui_ i.-l
i r.-^--^ ^^^ ^^ a. ^-^.
-1: al )ysiem |ACS) must compiete this form.

r:e n"'r'at:cn submitled will be used to build an accurate account of all those officers
and staff accessing Automated Challan
Sysiem iACS) ro mainiain system security.

No user will be granted access without having completed the information

required overleaf, and having had their application
approved by their controlling authority.

Conditions u nder wh ich Application r3 Applied for and IS Granted

i (the applicant named overleal) declare that the information given is

correct and I agree to comply with all requirements or any
other reasonable conditions that may be imposed by the competent
authority in respect of Automated Challan System (ACS)
ACCCSS,

I (the applicant named overleaf) acknowledge that all information of system

is confidential and unauthorized disclosure,
falsifying. damaging or any misuse is an offence.

Applicant's Signatu
6$--'--2
6{rffi{)

tf approved, as an authorized user of Automated Challan System (Acs) you dtrt t

agree to:
a Keep secu 16 and not disclose tn another pers0n the unque user identifier
(User ID and Password allocated to y0u
a 0nly use the user lD/Password to access 0r otherwise receive data that does
not pertai n to your role/designation.
a Notify the system ad min if y0u g ain access 0r othenvise receive data
that does not pertai n to your role/designation.
a Notify the system admin if you suspect that the security of you User lD/Password tq
IN any way compromised.
a Not copy or distribute system d ata nr applications to any pers0n, machine
0r media, unless othenruise authorized.
a Notify the system admin, if you:
o Change your current postion
o change the address or rocation of your normar prace of connection
o Change any other rnformation submitted overleaf