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অন্যান্য ফরম
   

ব্যক্তিগত কারণে সরকারি/স্বায়ত্বশাসিত সংস্থার কর্মকর্তাদের বিদেশ ভ্রমণ সংক্রান্ত তথ্যাবলী।

 

০১।

আবেদনকরীর নাম (স্পষ্টাক্ষরে) ও আইডি নং

:

 

০২।

পিতা/স্বামীর নাম

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০৩।

পদবি ও অফিসের ঠিকানা

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০৪।

বেতন স্কেল

:


০৫।

যে দেশে ভ্রমণ করবেন

:


০৬।

প্রস্তাবিত ভ্রমণের মেয়াদ

:


০৭।

যদি পরিবারের কোন সদস্য বা অন্য কাউকে সঙ্গে নিয়ে যেতে চান (তাঁর/তাঁদের নাম, বয়স ও আবেদনকারীর সঙ্গে সম্পর্ক উল্লেখ করতে হবে)

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০৮।

ভ্রমণের উদ্দেশ্য

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০৯।

শেষবার কবে ঐ দেশে সফর করেছেন এবং কতদিনের জন্য

:


১০।

আনুমানিক খরচের পরিমান (বাস্তবতার নিরিখে)

:


১১।

প্রস্তাবিত ভ্রমণের খরচ কীভাবে মিটানো হবে (নিজ ব্যতীত বিদেশে অবস্থানরত কোন আত্নীয় খরচ বহন করতে সম্মত হলে তাঁর/তাঁদের পূর্ণ নাম, ঠিকানা, মোবাইল নম্বর ও লিখিত সম্মতিপত্র)

:




















আবেদনকারীর স্বাক্ষর

তারিখঃ …………….

মোবাইল নম্বরঃ ………………

১২।

সরকারের তরফ হতে কোন প্রকার বৈদেশিক মূদ্রা ব্যয় হবে না মর্মে প্রত্যয়নসহ মন্ত্রণালয়/বিভাগ/অধিদপ্তর/অফিস প্রধানের সুপারিশ। 

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মন্ত্রণালয়/বিভাগ/অধিদপ্তর/অফিস প্রধানের স্বাক্ষর ও

(সীল)