SERIAL - 1466
Job Application Form (Manufacturing)
EPS-TOPIK ID 0052023C50706767 NID No. 7365363295
Nationality Bangladeshi Full Name HOSSAIN SAJIB
Date of Birth 2000-08-05 Age 23 Picture
Passport No A02105174 PP Issue Date 2021-10-31 PP Expiration Date 2031-10-30 Taken within 6
Major city Small and medium city Farm village (Mountain village) Fishing month
Region of origin
Village
Gender Male Female Marital Status Married Single Divorced
Date of 2023-12-11 Limbs Arms/ Left Normal Right Normal
Medical Examination check/ hands Abnormal Abnormal
Examination Medical CIVIL SURGEON, Finger loss Legs/ Left Normal Right Normal
Center MUNSHIGANJ Feet Abnormal Abnormal
Height 160 Cm Weight 69 Kg Eye vision Left 1.0 Right 1.0 Color Blindness
Mobile (Own) Home Relative
Phone No. Blind Normal
01609122665 01857483107 01918329522
Fathers/Mothers S/O: MD SOHRAB MAZI
Name and Address
Address: BOKCHOR, MUNSHIGANJ, JAJIRA SYEDPUR-1500, MUNSHIGANJ
Desired Category Manufacturing Sub- 1. AUTO MOBILE Duties Rebar worker
2. FURNITURE Carpenter
Industry Category (Construction Only)
3. METAL INDUSTRY
√ General worker
Welder
Desired Salary 21,00,000 KRW Skill Test √ Y/ N
Academic Doctoral Degree Master’s Degree Bachelor’s Degree Associate Degree High School Junior
Background High School Elementary Etc (
Name of the Bank ISLAMI BANK BD LTD
Applicant's Branch Name MUNSHIGANJ BRANCH
Email: sajib01757675835@gmail.com
Bank Account Bank Code IBBLBDDH
Account No. 20501870204697314
Preferred No
ANY 1st Choice ANY 2nd Choice ANY
Region Preference
EPS-TOPIC Industry MANUFACTURING Test Date 2023-08-30
Total Average
Score Reading 37.5 Listening 37.5 75 37.5
Score Score
Vocational
Level Major
School
Language Korean Excellent Good Poor English Excellent Good Poor
Proficiency Other
HINDI Excellent Good Poor
Language
1
Licenses 2
3
Industry Term of
Country Sub-Category Duties (Construction Only)
Category Employment
Work SAUDI Rebar worker Carpenter
1 CONSTRUCTION PIPE FITTER 2022-23
Experience any
ARABIA √ General worker Welder
Rebar worker Carpenter
country 2 General worker Welder
Rebar worker Carpenter
3 General worker Welder
Work Experience in Korea Foreigner's Registration
Yes No
Number
Name of School/ College/ : MUNSHIGANJ COLLEGE
University
Location of School/ College/ : MUNSHIGANJ SADAR, MUNSHIGANJ, DHAKA, BANGLADESH
University ( city/province/country )
Emergency Contact : (a) Full Name in English : MD SOHRAB MAZI
Information (b) Country of Residence : BANGLADESH
(c) Telephone No. : 01914830374
(d) Relationship to you : FATHER
Have you ever used any other : No Yes → If ‘Yes’ please provide details
names to enter or depart Korea? ( Family Name: , Given Names: )
Is the invitee a citizen of more : No Yes → If ‘Yes’ please provide details
than one country? ( Detailed information: )
Does the invitee have any : No Yes → If ‘Yes’ please provide details
other valid passport? (a) Passport Type: Diplomatic [ ] Official [ ] Regular [ ] Other [ ] (
b) Passport No. : (c) Country of Passport :
( d) Date of Expiry :
Has the invitee traveled to : No Yes → If ‘Yes’ please provide details
Korea in the last 5 years? ( ) times, Purpose of Recent Visit ( )
Has the invitee traveled No Yes → If ‘Yes’ please provide details
outside his/her country of Name of Country Purpose of Visit Period of Stay (
residence, excluding to yyyy/mm/dd)~(yyyy/mm/dd )
Korea, in the last 5 year
Personal information of ※ If you are ‘married’, please provide details of your spouse in English.
your spouse
Family Name :
Given Name :
Date of Birth :
Nationality :
Residential Address :
Contact No.
Do you have children? ㆍNo
ㆍYes →ㆍ Number of children [ ]
Name of Korean : KATAKHALI KOREAN LANGUAGE CENTER, MUNSHIGANJ (KKLC)
Language Center
Korean Language : KATAKHALI, MUNSHIGANJ SADAR, MUNSHIGANJ.
Learning Center Address
Contact Number : +8801946104884, 01732667743 Email: sohan0708@gmail.com
Korean Language : 15,000tk
Learning Cost
I attest to the fact that the above information is true and valid. I understand that I will be held
responsible for any damages or problem caused by inaccuracy or invalidity of the information.
Furthermore, I hereby give my consent for the relevant authorities involved in the management and
coordination of the EPS to disclose and use the information for the purpose of supporting
employment arrangement for employers, entry and sojourn management, return support and
prevention of the illegal stay of workers (Private information retention and usage period: the
information will be destroyed upon the completion of the intended tasks).
Submission of this application & Entry in the Job Roster does not guarantee your job in Korea
(PvKzwii Av‡e`b Ges Re †iv÷v‡i bvg Aš‘f‚©w³ `wÿb †Kvwiqv Avcbvi PvKzwii
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Signature:
Dated:
