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Personal Information First Name Middle Name Last Name Name*

Father’s Name * Mother’s Name*

Spouse Name National ID (If any)

Birth Date* Age

Marital Status*  Married  Unmarried Gender  Male  Female Weight (KG)* Height* Feet Inches

MRP Passport No (If any) Passport Issue Date Passport Exp. Date Religion *

Desired Job Option- 1*  Plantation

Permanent Address Mailing Address (As Permanent Address)

Division* KHULNA Division* KHULNA

District* JESSORE District* JESSORE

Upazilla/ Pouroshova* SHARSHA Upazilla/ Pouroshova* SHARSHA Union/ Word* BENAPOLE Union/ Word* BENAPOLE Post Office* BENAPOLE Post Office* BENAPOLE Post Code* 7431 Post Code* 7431 Village/ Street* Village/ Street* House No (If any) House No (If any)

Email (If any) Email (If any)

Mobile/Phone* Mobile/Phone*

Nominee Information Nominee Name* Relation* Address*

Nominee Mobile/Phone* Contact Person Contact Person Name (in case of Mobile* Emergency)* evsjv‡`k I gvj‡qwkqv miKv‡ii g‡a¨ 26 b‡f¤^i, 2012 Zvwi‡L ¯^vÿwiZ mg‡SvZv ¯§viK ( MOU ) Abyhvqx wR Uz wR c×wZ‡Z gvj‡qwkqvq Kg©x ‡cÖi‡Yi kZ©ejxt-

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