Shahadat Hossain

Professorsgatan 6B

Malmo, Sweden

mdjohn49@gmail.com

Phone no. +46727743712

2024-02-25.

His Excellency,

The Ambassador of Bangladesh to Sweden,

Embassy of the People's Republic of Bangladesh, Malmo, Sweden

Subject: Authorization to Collect My Daughter's New Passport

Your Excellency, I hope this letter finds you in good health and high spirits. I am writing to you regarding the collection
of the new passport for my daughter, [SHEHETAJ HOSSAIN] which has been processed and is currently ready for
pickup at your esteemed embassy. Due to unforeseen circumstances, I am unable to personally visit the embassy to
collect the passport. Therefore, I have designated a proxy, [AHASUNUL KABIR], a trusted friend of mine, to collect the
passport on my behalf. [AHASUNUL KABIR] has been fully briefed about the sensitivity and importance of this
document, and I trust that they will handle the process with the utmost care and responsibility.

For your convenience and verification purposes, I have attached the following documents to this letter:

A signed letter of authorization, explicitly stating my consent for [AHASUNUL KABIR] to collect the passport on my
behalf.

A copy of [SHEHETAJ HOSSAIN]'s birth certificate.

A copy of [AHASUNUL KABIR]'s valid identification document for verification at the time of collection.

I kindly request your cooperation and assistance in facilitating [AHASUNUL KABIR] in collecting my daughter’s new
passport from the embassy. I assure you that this arrangement is made purely out of necessity, and I deeply
appreciate your understanding and support in this matter.

Please let me know if there are any additional forms or procedures that need to be completed for this request to be
processed. Your assistance in ensuring the smooth handover of my daughter’s passport to my designated proxy
would be greatly appreciated.

Thank you very much for your attention to this request. I am hopeful for a positive response and look forward to your
kind cooperation.

Warmest regards,

Shahadat Hossain Personnummer : 199001146811

AHASUNUL KABIR Proxy’s Personnummer: 199309030196

 - ( / - )
e-Passport Application Form
(New/Re-Issue)

Government of the People’s Republic of Bangladesh

Department of Immigration and Passports
www.dip.gov.bd

Please fill up the application form page 1 to 3 as per National ID/Birth Registration Certificate. Legal action will be taken for
false information.
( )

Online Registration Online Payment Online Payment Passport Office/Bangladesh Mission

1. 2. 3. 4.*
ID (auto fill-up) Reference (auto fill-up) Amount (auto fill-up) ( / )

Passport Type Number of Pages Duration of Passport Type of Delivery

5.* 6.* 7.* 8.*
( ) ( ) ( ) (

Note: If you apply for ePassport re-issue without any change, please fill in Page 1 (SL No 1 to 37) only.
( - - - ( )
Previous Passport No. (if any)
9. 10. Date of Issue ( )
(
11. Date of Expiry ( ) 12. Reason for Re-Issue ( - )

Personal Information ( )
Full Name (as per NID/BRC)
13.*
( / )
Given Name Surname
14. 15.*
/ ) ( / )
16.* Date of Birth 17.* Country of Birth (
18.* District of Birth ( ) 19.* Place of Birth ( )
20.* Gender ( / / ) 21.* Religion ( )
National ID No. Birth Registration No.
22. 23. ( )
(
Type of Citizenship Dual Citizenship Status
24.* 25.
( ) ( )
Country of Other Citizenship Foreign Passport No.
26. 27.
( ) ( )
28.* Marital Status ( ) 29.* Profession )
30.* Contact No. ( ) 31. E-mail ( - )

Additional Information for Official and Diplomatic Passport ( )

GO/NOC/Others Issuing Authority
32. 33.
( / / )
34. Reference No. ( ) 35. Date ( )
Date of Retirement Passport Application for
36. 37.
( ) ( )

Version Page 1
Note: If you apply for ePassport re-issue and need changes, please fill up related information in Pages 2-3.
( - - -
Applicant’s Permanent Address ( )
38.* District ( ) 39.* Police Station ( )
40.* Post Office ) 41.* Postal ode
City/Village/House Road/Block/Sector
42.* ( 43.*

Applicant’s Present Address (Bangladesh or abroad) (

44.* Country 45.* District ( )
46.* Police Station ( ) 47.* Post Office )
City/Village/House
48.* Postal ode 49.*
(
Road/Block/Sector
50.*

Parental Information ( -
Father’s Name (as per
Father’s Nationality
51.* NID/BRC) ( 52.*
/ )
Father’s National ID No. Father’s Profession
53. 54.* ( )
(
Mother’s Name (as per
Mother’s Nationality
55.* NID/BRC) ( 56.* ( )
/ )
Mother’s National ID No. Mother’s Profession
57. 58.*
( )
Guardian’s Name – if
applicable (as per NID/BRC) Guardian’s Nationality
59. ( - ( 60. ( )
/ )
Guardian’s National ID No. Guardian’s Profession
61. 62. ( )

Spouse Information ( )
Spouse’s Name (as per
Spouse’s Nationality
63. NID/BRC) ( ( 64.
( )
/ )
Spouse’s National ID No. Spouse’s Profession
65. ( 66. ( )

Emergency Contact ( )
Relationship
67.* Name 68.*
( )
69.* Country 70.* District ( )
71.* Police Station ( ) 72.* Post Office )
73.* Postal Code City/Village/House
74.*
(
75.* Road/Block/Sector

76.* Contact No. ( ) 77. E-mail -

Page 2
Pre-Police Clearance Information if applicable ( -
78. Reference No. ( ) 79. Date

Information for Lost/Stolen Passports ( / )

80. G.D. No. ( ) 81. Date ( )
District of Police Station
82. 83. Police Station
( )

Bank Payment Information ( )

Bank Name Payment Reference No.
84. 85.
( (
86. Payment Date ( 87. Paid Amount (

List of Attachments ( )
Photocopy of National ID Photocopy of Previous Passport Photocopy of Birth Registration Certificate
( ) ( ) (
Photocopy of Marriage Certificate NOC GO
( ( ) )

Retirement Document Pre-Police Clearance Certificate G.D.

- ) ( )
Others

Declaration ( )

/
(I solemnly declare that all the information provided in this application is true. I am aware of the rules and regulations of
Passport Act. I will be subjected to said passport act/regulations for any false information or hiding of any such
information).

Date ( ) _________________________ ________________________________________________

15-11-2023 Signature of Applicant/Guardian (if Applicant is minor)
/ (

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