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People's Repub c of Bangladesh

Finance Division, Ministry of Finance
Automated Challan System (ACS)
lJser Registration From
I For National Board of Revenue (NBR)Only]
To be completed by User (Applicant)

Office Name Taxes Zone-S, Circle-102 (Salary), Dhaka.

Office Address Extra Assistant Commissioner of 'I'axes , Circle-102 (Salary), Taxes Zone-
5, Dhaka.

User's Information
Full Name (English) Md. Shahjahan
Full Name (Bangla) n'B -tRq[q-{
Designation Extra Assistant Commissioner of Taxes
National ID No. 1968681 7663494300 Date of Birth 3 1-12-1968
E-mail ID Shahj ahapqt ax.zl 0 @gmai l. com Cell Phone No 0t716214481
Signature (Applicant)
,bbr- Date 11 -49-2023

User Type
Report View

To be completed by Head of Circle Office/Depaftment

Name Md. Shahjahan
Designation Extra Assistant Commissioner of Signature &
'faxes Seal
Cell Phone No. 0t716214487
E-mail ID Sh ahi ahan.t ax.zl 0 @gmai l.com
d <1

To be completed by Tax Commissioner

Name of the Abu Sayeed Md. Mustaque )
Commissioner Signature &
Designation
Name of the Zone
Commissioner of Taxes
Taxes Zone-S. Dhaka.
Seal
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Cell Phone Nc 01819258642
E-mail ID ilsxtm1r"i $taqi:e,,1Q3,'ah<;i:.c*m
Til qqqq-c, uRrt t
Gn;r c sssssttrL.ril"Q

To be completed by System Administrator of the Head Office

Allotted User Login ID
Created By (Name) Signature & Seal
Designation
Date of Creation
 Use of this Form

The Purpose of this from is to register the required access to Automated Challan
System (ACS). All
Users Who need to use Automated Challan System (ACS) mUST Complete this
from.

The information submitted will be used to build an accurate account of all those officers
and staff
accessing Automated challan System (ACS) to maintanin System Security.

No User will be granted access without having completed the information required overleaf,
and
having had their application approved by their controlling authoruty.

Conditior, s under which IS for and is Granted

I (the applicant named overleaf) declare tha! information given is correct and I agree to comply
with all requirements or any other reasonable lhe
conditions that may be imposed bylhe competlnt
authourity in respect of Automated challan System (ACS) access.

I (the applicant named overleaf; acknow ledge that all information of system is confidential and
unauthorized disclosure falsifying, damaging or anY mlsuse ls an

Applicant's Signature
'$.2 2e
Tf approved, AS an authorized user of Automated Challan System (ACS)
* you agree to:
Keep secure and not disclose to another person the unlque user indentifier
(u ser ID) and
password allocated to you.
* only use the user ID/Password to access or otherwise receive
data that does not pertain to your
role/designation.
* Notitz the system admin if you suspect that the security your
of User ID/password is in any way
compromised.
Not copy or distribute system data or applications to any person, machine or media,
unless
otherwise authorized.
* Notifiithe system admin, if you:

* Change your current position

* change the address or local of your normal
place of connection
* Change any other information sudmitted
overleaf