Individual Clearance Application Form - Government People'S Republic Of Bangladesh printable pdf download

Government People’s Republic of Bangladesh

Bureau of Manpower, Employment and Training (BMET)

Individual Clearance Application Form

Serial Number: Date………………………….

A. Visa Information

1. Block visa No.:___________________________2. Visa issue date:______________________

3. Visa issuing country:______________________4. Total visa count:____________________

5. RL no.:____________6. RA name:______________________________________________

B. Employer /Company/ foreign recruiting agent Information

7. Employer is a company or recruiting agent (foreign): Yes/NO

8. Employer/ company/recruiting agent (foreign) name:________________________________

__________________________________________________________________________

9a) Street address:__________________________________________________________

a) City/Town :_________________________, c) Phone:_________________________

d) Zip code:___________________ e) Fax number:_______________________

f) E‐mail:____________________ g) Website:___________________________

C. Employee Information

Item

Employee # 1

Employee # 3

Registration ID

Visa number

Visa issue date

Visa expiry date

Visa issue country

Visa issue place

Type of visa

Passport type

Category name

Purpose of visit

Passport number

Passport issue date

Passport expiry date

Passport issue place

Profession in passport

Birth date in passport

D. Job information

Item

Job/post category # 1

Job/post category # 3

Name of Job/post

Monthly wages/salary

Food (Put √)

YES/NO

Housing (Put √)

YES/NO

Medical (Put √)

YES/NO

Air fare (Put √)

YES/NO

Over time (Put √)

YES/NO

Contract duration (yr)

Others

Remarks

• If required add extra pages for employee and job information

Signature of the recipient Officer Applicant’s Signature

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Individual Clearance Application Form - Government People'S Republic Of Bangladesh

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