People's Republic of Bangladesh

Finance Division, Ministry of Finance

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

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Office Address
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Full Name (English) Md ' frbu M r o.h

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Name
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Name of the Commissioner Abu Ieed Md. Mug UE

Designation Cornt,n',ssione? To,rea
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Name of the Zone
Cell Phone No
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Signature & Seal
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Allotted User Login lD

Created By (Name)
Signature & Seal
Designation
Date of Creation

NB. (1)ForanyqueriespleasecontactSPFMSHelpdesk:Te|.0255110546-55,atThelnstitutionofEngineers,Bangladesh(lEB),(5'd
Floor), Ramna, Dhaka,
 Use of this Form

The purpose of this form is to register the required access to Automated Challan System (ACS). All users who need to use
Automated Challan System (ACS) must complete this form.

The information submitted will be used to build an accurate account of all those officers and staff accessing Automated Challan
System (ACS)to maintain 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,

I (the applicant named overleaf) 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)
access.

I (the applicant named overleaf) acknowledge that all information of system is confidential and unauthorized disclosure,
falsifying, damaging or any misuse is an offence.

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Applicant's Signature

lf approved, as an authorized user of Automated Challan System (ACS) you agree to:
. Keep secure and not disclose to another person the unique user identifler (User lD) and Password allocated to you.
. Only use the user lD/Password to access or othenrvise receive data that does not pertain to your role/designation,
. Notify the system admin if you gain access or otherwise receive data that does not pertain to your role/designation.
. Notify the system admin if you suspect that the security of your User lD/Password is in any way compromised.
. Not copy or distribute system data or applications to any person, machine or media, unless othenvise authorized.
. Notify the system admin, if you:
o Change your current Postion
o Change the address or location of your normal place of connection
o Change any other information submitted overleaf

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