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APPLICAT]ON FORM IIOR PRIVATE VISI'f OI]T'SIDE OF I]ANGI,ADESTI

2.

3.

,4'i.

(

Name of the applicantrin black letters.)

Father's Name.

Designatror and offlce adoress.

Scale of pay.

Country of visit tspecifying the placeplacesrvhich the application int-errris l.o visit).

l)urpose of visit.

Pur:pcsed duration of visit.

if pt'oceed;ltq alorrr:,, or alr)ti5 !vil.fIir; cirl)Er. s rtr iari-riiy or'()Lircrs

Il proceeding along ,-',Li, ,,'rlrh--'i s ol firtt.rilJ, oroLhcrs therr naures and ages sltowirig relaLionshipwith the applicant should Ile statetl.

When the Country was last visited. and forrvirat period

llorv lhe proposed visit rvouid be f inanced(if financed by lhe relatiou abroaQ other thanhis orarn r()sollrce. i.he rtame zind addressof the i:elation l;ltoulrl be sial.cd).

IlccornmcnciaLion of tlrc Ilcad of t-hr: NlinistrylDepartmentiolfjce rt ith a certiiicaLe that t.heprc,posed visiL would ttot involve any foreignExchange comrnittnetrts.

: RUMANA AMIN

, Mci. Ruirui Amin

NleLeorolcgr ciii Assi.stau L.

i3 in gI a rJ e sh l,[ ete orolo gi c a I D e p artm e r-1 1..

.ithhawa Birai;arr. E 24. Aga"rgaon. Dhaka 111()7

1,1.500r.= 30 230r= iGrade 111

: ILaly rMilanl

: 'I'cnrporary slav (shorl stayt wi Lh

husband

,zztdi4Dotg to 0710612019 or frornthe date of comtnencenlent

. \Vitb. lrry son and Daughl.er'

: 1.'itirivir Rahamarn. agc l,l )'earls.rrrlal.ionship son

2. Ijariha ltaliarnan. age 12 yeai:s.Relationship -Daugh'"er

,NlA

: Fitranc by my husband

7

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APPLICATION FORM FOR PRIVATE VISIT OUTSIDE BANGLADESH

' l-.Name of the applicant(in block letters)

2.Father's name

3. Deslgnation a nd office'.dd r"rt

. 4.Scale of pay

5.Country of visit (specifying the place/placeswhich the applicant intends to visit)

6.purpose of visit

T.purposed duration of visit

8.lf proceeding aloney'or along with membersof family or others.

9.lf proceeding along with members of family orothers their names and ages showingrelationship with'the applicant should be stated.

1O.when the.count.ry was last visited, and forwhat period.

11.How the proposed visit would be financed :

(if financed by the relation abroad other than hisown resource, the name and address of therelation should be stated).

l2.Reconrmendation of the head of the ministry/Department/office with a certificate that theproposed visit would not involve any foreignexchange commitments.

: FAHMIDA HARIS

: MD. ABUL HARIS

: M ETEORO LOG ICAL ASSISTANT,

PATENGA, CHITTAGONG

:1,1.,300/--27 ,300/

MAIN MET. OFFICE,

:: INDIA (AGRA, AJMIR SHARIF, BANGALORE & DELHT)

ZIARAT AJMIR SHARIF & VISIT

FROM 06/01/20L9IO Os/0212019 = 31 DAYS

ALONE

N/A

N/A

OWN RESOURCE

/-signature of the applicant ' >{qf'rlnfDesignation : METEOROLOGICAL ASSISTANT

Date : 23.12'.201$

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M in istry/Depa rtme nt/office.Shams_uddin Ahmed- DirectorEangtadesh Meteorological Deott.Dhaka_l20i .

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APPLICATION FORM FOR PRIVATE VISIT OUTSIDE BANGLADESH

1. Name of the applicant( in block letters )

2. Fatherts Name

3. Designatio, aid office address

i

' 4, Scale of Pay

5. Country of visit6. Purpose of visit.

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his own resource, the name and address of the

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13. Recommendation of the Head of the Ministry/

Department/Office with a certificate that the

proposed visit would not involve any foreign

' exchange commitments.

M. H. M. MUSADDUQUE. ."

MD. ABUL HOSSAIN

Professional Assistant,

Main Meteorological Office,

Hazrat Shahjalal International Airport ..

Kurmitola, Dhaka-1229.'

12,500 - 30,230 t -; 20,420 t -

India

Yisit to Historical Place.

Darsana-Gade-Darsana

15 Day's from'06.01.2019

Or from date of avail.

Alone.

N/A

Signature of the applicant :

Designation : Professional Assistant.

Date: 23.12.2018

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Min istrv/D e oa rtm ent/Offi ce.Stiamsidtin Ahmed**"0':8[?tgfi'Sttcrr DePtr'

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