<p>[Handwritten] PHONE: 01913368463<br />FORM NO 7(ko)<br />FIRST SECTION<br />Information for Worker Identification</p>
<ol>
<li>Worker’s name: Mosa[mmat] Parveen Begum</li>
<li>Father’s name: Lalon Sheikh</li>
<li>Mother’s name: Halima Begum</li>
<li>Husband/Wife’s name (if applicable): Fazlu Mian</li>
<li>Permanent address: Ramkantapur<br /> POST OFFICE: Rajbari<br /> THANA: Rajbari<br /> UPAZILA: [blank]<br /> DISTRICT: Rajbari</li>
<li>PRESENT ADDRESS: C/O Lavu<br /> Majidpur/Bazar/Dhaka</li>
<li>DATE OF BIRTH/AGE: 10/2/1988</li>
<li>NATIONAL ID CARD NO (if s/he has one): [blank]</li>
<li>Educational qualifications: Class 8</li>
<li>Training/special skills (if any): [blank]</li>
<li>Height:    [blank]<br /> Cm:         [blank]</li>
<li>Blood group (if any[known]): [blank]</li>
<li>Special identification mark (if any): [blank]</li>
<li>Date on which Service Book was opened: 6/11/12 E[‘E’, shorthand for English=Gregorian calendar]</li>
<li>Print of left thumb: [blank]</li>
</ol>
<p><br />signed<br />Worker’s signature<br /><br />[illegible]<br />Owner/Management Authority’s signature<br />[Handwritten] Seeking<br />MOBILE NO: 01913368463</p>

[Handwritten] PHONE: 01913368463
FORM NO 7(ko)
FIRST SECTION
Information for Worker Identification

  1. Worker’s name: Mosa[mmat] Parveen Begum
  2. Father’s name: Lalon Sheikh
  3. Mother’s name: Halima Begum
  4. Husband/Wife’s name (if applicable): Fazlu Mian
  5. Permanent address: Ramkantapur
    POST OFFICE: Rajbari
    THANA: Rajbari
    UPAZILA: [blank]
    DISTRICT: Rajbari
  6. PRESENT ADDRESS: C/O Lavu
    Majidpur/Bazar/Dhaka
  7. DATE OF BIRTH/AGE: 10/2/1988
  8. NATIONAL ID CARD NO (if s/he has one): [blank]
  9. Educational qualifications: Class 8
  10. Training/special skills (if any): [blank]
  11. Height:    [blank]
    Cm:         [blank]
  12. Blood group (if any[known]): [blank]
  13. Special identification mark (if any): [blank]
  14. Date on which Service Book was opened: 6/11/12 E[‘E’, shorthand for English=Gregorian calendar]
  15. Print of left thumb: [blank]


signed
Worker’s signature

[illegible]
Owner/Management Authority’s signature
[Handwritten] Seeking
MOBILE NO: 01913368463


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