Personal Sheet

CONFIDENTIAL

PERSONAL SHEET

Info Corrected dt......

Basic Information

1.Personal Number:

2.Full Name :

a.Bengali :

b.English:

3.Nick Name :

4.Date of Brith : Place of Birth :

5.Nationality :By Birth Any Other

6.Religion : Cast :

7.Sex : Mail / Female -

8.ID Card :

a.Svc ID Card No : Date of Issue :

b.National/VoterID Card No : Date of Issue :

9.Marital Status : ()

10.Blood Group : ()

11.Address :

a.Present Address:

b.Permanent Address:

c.Other Contact Address :

d.Present Loc :

(1)Rank :

(2)Appt :

(3)Ship/Estb :

(4)Area :

(5)Duration of Svc (Present place) :

12.Svc Profile:

13.Course Attended (Home and Abroad) :

14Educational/Academic Qualification:

a.Civil

b.Trg Profile (BNA)

(1)Course in BNA:

(2)Cadet No :

(3)Appointment at Trg (if any):

(4)Date of Commission:

(5)Branch:

(6)Anti Date Seniority (if any):

(7)Nature of Commission :

(8)Date of Retirement by Svc :

(9)Date of Retirement by Age :

c.Prior Commission Svc (if Applicable).

Life Sketch

15.Childhood

a.General description:

b.Environment Prevailing during birth:

c.Environment prevailed in family:

d.Any Traumatized experience :

e.Any other:

1. Comments/ Rmk:

16.School Life

a.General description:

b.Schools Attended:

c.Academic Result:

d.Name of Teachers:

e.Name of Friends:

f.Extra Curricular Activities :

g.Achievements (if any):

1. Any other:

j.Essay/debate/Sports/Quiz/ Gen Knowledge competition etc.:

k.Comments /Rmk:

17.College Life

a.General description:

b.Colleges Attended:

c.Academic Result:

d.Name of Teachers:

1. Name of Friends:

1. Extra Curricular Activities :

g.Achievements (Essay/debate/Sports/Quiz/ Gen Knowledge competition etc):

h.Political Ideology :

jAny other:

1. Comments/ assessment :

18.University Life

a.General description:

b.Universities Attended:

c.Academic Result:

d.Name of Teachers:

e.Name of Friends:

f.Extra Curricular Activities :

g.Achievements (Essay/debate/Art/Sports/Quiz/ Gen Knowledge competition etc):

h.Political Ideology :

j.Any other:

l.Comments/ assessment :

19.Retired Life

a.Date of Retirement:

b.Nature of retirement:

c.Job (if any) during retired life :

d.Income:

e.Any other:

f.Comment :

Other information

20.Travel History

a.Passport

(1)No:

(2)Category/Type:

(3)Date and Place of Issue:

(4)Issuing Auth:

(5)Reasons to Obtain Passport:

(6)Date of Expiry :

b.Countries Visited

c.Accompanied by:

d.Expenditure of the visit.:

e.Comments/ assessment:

Activity Record/Achievement

21.Achievement.

a.International/National:

b.Navy Level:

c.others:

22.Activity Positive in Nature :

23.Activity Negative in Nature :

24.Punishment (in any).

25.Misc Personal Info

a.TIN No......

26.Tax Return

a.Circle (Financial Year) :

1. Area :

1. Amount Paid:

27.Driving License No (if any):

28.Trade License No (if any):

29.Cell Phone No

30.Information of Wife

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/Age:

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Religion:

j.Cast:

k.Alive/Death :

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address:

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the subj Indl:

v.Any other Info:

w.Travel History

(1)Passport

(a)No:

(b)Category/ Type:

(c)Date and Place of Issue:

(d)Issuing Auth:

(e)Reasons to Obtain Passport:

(f)Date of Expiry:

x.Countries Visited :

y.Approx Expenditure:

Assets and Properties in personal name/wife/children’s

31.Bank Bal

aBank Accts With Bal

(1)Domestic:

(2)Foreign:

b.FDR:

1. Sy Deposits:

1. Bonds :

1. Savings Certs:

1. Shares :

1. Bank Loan (if any) :

1. Loan Default:

j.Credit Cards:

32.Houses

a.Loc:

b.Address:

c.Approx Cost:

d.PresentState (Rental, mortgage etc):

e.Description of the house :

f.Source of Income to purchase the house :

33.Land Properties

a.Loc:

b.Description of the land :

c.Approx Cost:

d.PresentState (Rental, Mortgage etc):

e.Source of income to Purchase that land:

34.Veh

a.Registration No:

b.Approx Cost:

c.Source of Income to purchase that veh:

d.Description of the Veh:

35.Other Assets

a.Garments:

1. Shops :

1. Wk Shops:

1. Industries:

1. Ships :

1. Office/Commercial Space :

1. Source of Fathers relevant :

1. Any other:

36.Assets Abroad

a.Place:

1. Description:

1. Approx Cost:

1. Source of income to buy that asset :

1. Any other:

f.Comments/ assessment:

Assets and Properties in the Name of Wife

37.Bank Balance

a.Bank Accts With Bal

(1)Domestic:

(2)Foreign:

b.FDR:

c.Sy Deposits:

d.Bonds:

e.Savings Cets:

f.Shares:

g.Bank Loan (if any) :

h.Loan Defaulter:

j.Credit Cards:

38.Houses

a.Place:

b.Address:

1. Approx Cost:

1. PresentState (Rental, mortgage etc):

1. Description of the house:

1. Source of Income to purchase the house:

39.Land Properties

a.Place:

b.Description of the land :

c.Approx Cost:

d.PresentState (Rental, Mortgage etc):

e.Source of income to Purchase that land :

40.Veh

a.Registration No:

b.Approx Cost:

c.Source of Income to purchase that veh:

d.Description of the Veh:

41.Other Assets

a.Garments:

b.Shops:

c.Wk Shops:

d.Industries:

1. Ships :

1. Office/Commercial Space :

1. Source of Father relevants :

1. Any Other:

42.Assets Abroad

a.Place:

b.Description:

c.Approx Cost:

d.Source of income to buy that asset :

Assets and Properties in the Name of Children

43.Bank Balance

a.Bank Accts With Bal

(1)Domestic:

(2)Foreign:

b.FDR:

c.Sy Deposits:

dBonds:

e.Savings Cets:

f.Shares:

g.Bank Loan (if any) :

h.Loan Defaulter:

j.Credit Cards

44.Houses

a.Loc:

b.Address:

c.Approx Cost:

d.PresentState (Rental, mortgage etc) :

e.Description of the house :

f.Source of Income to purchase the house :

45.Land Properties

a.Loc:

b.Description of the land :

c.Approx Cost:

d.PresentState (Rental, Mortgage etc) :

e.Source of income to Purchase that land :

46.Veh

a.Registration No:

b.Approx Cost:

c.Source of Income to purchase that veh :

d.Description of the Veh:

47.Other Assets

a.Garments:

b.Shops:

c.Wk Shops:

d.Industries:

e.Ships:

f.Office/Commercial Space :

g.Ant Other :

48.Assets Abroad

a.Loc:

b.Description:

c.Approx Cost:

d.Source of income to buy that asset :

e.Ant other:

f.Comments/assessment :

49.Father’s Information

a.Full Name:

1. Nick Name :

1. Other Name:

1. Family Title:

1. Date of Birth/ Approx Age :

1. Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org:

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

50.Mother’s Information

a.Full Name:

1. Nick Name:

1. Other Name:

1. Family Title:

1. Date of Birth/ Approx Age :

1. Place of Birth:

g.Nationality

1. Present:

1. By Birth:

1. Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org:

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

51.Step Father (If any)

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

1. Present:

1. By Birth:

1. Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

52.Step Mother (If any)

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

53.Brothers Information

a.Full Name:(1)(2)(3)

b.Nick Name:(1)(2)(3)

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :(1)(2)(3)

f.Place of Birth :(1)(2)(3)

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

1. Religion:

k.Cast:

l.Alive or Dead:

m.Permanent Address:

n.Present Address:

p.Other Address :

q.Edn Qual:

r.Official/ Business Address :

s.Details of Occupation and Org

(1)Present:

(2)Previous:

t.Yearly Income:

u.Political Ideology:

v.Marital Status :

w.Name of Wife:

x.Occupation of Wife :

y.Dependency on the Subj Indl :

w.Any other info:

54.Sisters Information

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality:

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address:

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Marital Status:

v.Husband’s Name :

w.Husband’s Occupation:

x.Dependency on the Subj Indl :

y.Any other info:

55.Details of Brothers/Sisters Living Abroad

56.Information of Father in Law

a.Full Name:

1. Nick Name :

c.Any other Name :

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

1. Present:

1. By Birth:

1. Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address :

m.Present Address :

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

57.Information of Mother in Law

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Region:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Dependency on the Subj Indl :

58.Information of Brother in Law

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

1. Religion:

k.Cast:

l.Alive or Dead:

m.Permanent Address:

n.Present Address:

p.Other Address :

q.Edn Qual:

r.Official/ Business Address :

s.Details of Occupation and Org

(1)Present:

(2)Previous:

t.Yearly Income:

u.Political Ideology:

v.Marital Status :

w.Name of Wife:

x.Occupation of Wife :

y.Dependency on the Subj Indl :

w.Any other info:

59.Information of Sister in Law

a.Full Name:

b.Nick Name:

c.Other Name:

d.Family Title:

e.Date of Birth/ Approx Age :

f.Place of Birth:

g.Nationality

(1)Present:

(2)By Birth:

(3)Any Other Nationality :

h.Religion:

j.Cast:

k.Alive or Dead:

l.Permanent Address:

m.Present Address:

n.Other Address :

p.Edn Qual:

q.Official/ Business Address :

r.Details of Occupation and Org

(1)Present:

(2)Previous:

s.Yearly Income:

t.Political Ideology:

u.Husband’s Name:

v.Husband’s Occupation :

w.Dependency on the Subj Indl :

x.Any other info:

Details of Previous Marriage (if any)

60.Details of Ex Wives:

61.Comments/ assessment:

Misc

62.Nominees (NOK)

63.Details of Relatives in the Armed Forces

64.Details of Relatives involved in Politics

65.Details of Relatives Living Abroad

66.Details of Relatives Serving in Foreign Orgs

67.Linguistic Skill

68.Extra Gallantry Award, Medal, Commendation:

69.Any Money Transaction Abroad:

70.Money Received from Outside:

71.Involvement with any Club/orgs:

1

CONFIDENTIAL