Government of the People's Republic of Bangladesh

Applicant's Copy
Bangladesh Fire Service and Civil Defence

User ID: LWCYLEOLOG Ref: 58.03.0000.002.11.006.18-2508

Post Name Station Officer (Male)

Applicant's Name MD. NAWAZ MAHMUD
Father's Name MD.KAZI KHAN
Mother's Name RANI KHATUN
Date of Birth 1992-12-25 [YYYY-MM-DD] 25 Years 2 Months 8 Days
Gender Male
National ID 19928829401000035
Home District Sirajganj

Freedom Fighter Status Non Freedom Fighter Ethnic Minority No

Marital Status Single Physically Handicapped No
Ansar/VDP No Orphan No

Height & Chest Measurement Height - 5 Feet 5 Inches Chest Measurement - 34/36 Inches

Present Address: Permanent Address:

Care of: Md. Kazi Khan Care of: Md. kazi khan
Village/Town: sreekola, ullah para, Village/Town: sreekola, ullah para,
Post Office: ullah para Post Office: ullah para
Post Code: 6760 Post Code: 6760
Upazilla/Thana: Ullah Para Upazilla/Thana: Ullah Para
District: Sirajganj District: Sirajganj

Academic Qualifications:

Examination Board/Institute Group/Subject/Degree Result Year Roll Duration

S.S.C Rajshahi Humanities 3.88 2009 320140 N/A

H.S.C Technical Business Studies 4.35 2011 131457 N/A
BBA Southeast University Marketing 3.02 2016 N/A 04
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 Recruitment
Authority including cancellation of my candidature.

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

Congratulations!! Application Submitted Successfully

LWCYLEOLOG is your User ID, Please keep this number to pay the application fee within 2018-04-10 15:24:32[YYYY-MM-DD
hrs:min:sec] from any Teletalk prepaid mobile phone by SMS.
1st - SMS Format: FSCD <space> <User ID> and send SMS to 16222
[Example : FSCD LWCYLEOLOG]. 1st-SMS Reply: Returns a PIN (8 Digits) like 23423495
2nd - SMS Format: FSCD <space> <YES> <space> <PIN> and send SMS to 16222
[Example : FSCD YES 23423495]. 2nd-SMS Reply: Returns a USER ID & PASSWORD

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