Government of the People's Republic of Bangladesh 38th BCS Examination 2017

Bangladesh Public Service Commission Applicant's Copy

User ID: CSDSLRMP BPSC Form - 1

Exam Centre: DHAKA General Cadre

Applicant's Name MOSTOFA SHIRAJUM MUNIR KHAN

Father's Name MOSTOFA JALAL KHAN
Mother's Name KHALEDA KHANAM
Date of Birth 1990-09-11 [YYYY-MM-DD] 26 Years 8 Months 21 Days
Contact Mobile 01725196788
Freedom Fighter Status Non Freedom Fighter
Disability None
National ID Number 7320425650

Home District Comilla Ethnic Minority No

Marital Status Single Employment Status Not Employed
Gender Male Height | Weight 66 [inches] | 62 [kg]

Present Address: Permanent Address:

Care of: Mostofa Jalal Khan Care of: Mostofa Jalal Khan
Village/Town: House-08, Road-09, Sector-03, Uttara, Dhaka-1230 Village/Town: House-08, Road-09, Sector-03, Uttara, Dhaka-1230
Post Office: Uttara Post Office: Laksam
Post Code: 1230 Post Code: 3570
Upazilla/Thana: Uttara Upazilla/Thana: Laksam
District: Dhaka District: Comilla

Educational Qualifications:
Examination Board/Institute Group/Subject/Degree Result Year Roll Duration
S.S.C Dhaka Science 4.06 2005 101241 N/A
H.S.C Dhaka Science 2.60 2009 102248 N/A
Honours Daffodil International University Marketing 3.38 2014 N/A 4

Cadre Choice - General Cadre

Choice 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20
Code 110 111 112 114 116 117 126 125 0 0 0 0 0 0 0 0 0 0 0 0

I declare that the information provided in this form are correct, true and complete to the best of my knowledge and belief. If any information is found
false, incorrect, incomplete or if any ineligibility is detected before or after the examination, any action can be taken against me by the Commission
including cancellation of my candidature.

-------------------- Applicant's Signature --------------------

 Congratulations!! Application Submitted Successfully
Please print this page. It may be downloaded as PDF file and it will remain open to download by using USER ID & PASSWORD (available after
payment).

CSDSLRMP is your User ID, Please keep this number to pay the application fee within 2017-08-12 16:42:20[YYYY-MM-DD hrs:min:sec] from
any Teletalk prepaid mobile phone by SMS.
1st - SMS Format: BCS <space> User ID and send SMS to 16222 [Example : BCS CSDSLRMP]
1st SMS Reply: Returns a PIN like 23423456
2nd - SMS Format: BCS <space> YES <space> PIN and send SMS to 16222 [Example : BCS YES 23423456]
2nd SMS Reply: Returns a USER ID & PASSWORD

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