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Bangladesh Rural Electrification Board !j"fll ~~;.-.,,,)
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Training Directorate wfu : :t<bM/~o)~fj:
Trainee's Personal Data Form
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Schedule No -
'_Name :--------------------------------------------------------------- Gender: M/F Bleed Group:
2 _N at j on a I IDNa ------------------------------------------------------.---------------------------------------------------------
] . Payroll ro (For REG) :--------------------------------------------- New 10 (For PUS) --------------------------~---------
4_ a) 1st Joining Date & Designation: (i) Date ------------------- (ii) Designation : ---------------------------:----------
b) Joining Dale of Present Dcsignation : (i) Dale -----------~------- (ii) Designation: -------------.-.-.--.-----.---.-.
5. a) Date of Sell iority at Present Designation : ------.------------ ..--.---.-------.--------------- ... -----..---.-.-----.---.--
b) Da tc of Rcgulariza tion ilt Present Designation : -.------------------.-----------.-----------.-.---- .. --... -.-----.---.-
G. Previous Posting Place CPOS or R EH oflicc) : c_. . ---------------------
7. Pre v i0 us Des ign at ion : -----------------------------------------------------~---------------------------------------------- ----
8. Cadre/Department : COM-Engg/ MSI GS/ Finuncc/EngilleeringIAdrnillis!ration/Not Applicable
9. Fa th er 's Name :------ -------------------------------- -----------------.--------------------------------------------------------
I O. !\>1ot 11 er ' s Name :----------------------------------------------------------- ---------------------------------------------------
I I. Permanent Address: Village :------------------------------------------Post Office :---------------.-----------------------
Tha na/U pzi Ia :------------ --------- -----------.- Dist :------------~--- -----------------------------
Mobile no.: ---------------------------------------- Date of Birth (Trainee):--------------------
12 . (a) H ighcst Ed ucati onal Q ual ification: --7--~--------------------- ..------------------------~--------------.-,-.------.----.
(b) Discipline (Sll~,jcet for Gradual ion Of higher and Group for SSC/HSC): -.--.-----------.----------- ..• -- .... -.... - .. -----~--
13.(a) Name of Present Organization (REtJ Of I'OS Name): -------------.--- .• --------------- .• -------.---- .. -.•.. -.- .. --------.
(0) Posting Place: ---------------------.-------- .. -.. --~------ (c) Date of Join at Present (REBIPBS),:,-----.-..-------.
J 4. C OlJ rse Name :------------------------------.-------- ---.------------ ..----.--.----- ----- -. -'- - --.-.- ... --.- ...------ ..---' ----
15. Cours e Cod e :---------- ----- .--------.--~----------------- --- -----.- ..-----.. --- ------------ -----. --..---.-.- ..-.-----------
16. (a) Course duration: From -------------------.----- To·---------------------Date of Exam ,----.-- ... ----.---..--.-.-.---
(0) Venue : -- --.---- --------~-----.--... -~--------------- ~- -----.- •... _- --------- ------ ---.- ... --- ----- -. -.- -------- ---- -----
17. As per my knowledge the above all information are correct & true and it is l11y-------·-.... -..-·-.... ~---· time
Participation in this Training course.
A lIC~led by Proper Authorilvv.rllQ/
Signatllre & Seal. ~, __ LA"
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MIL I a . (Mum)
IJrll\l\y IJHcdor " ,
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