Get Example of Information of retirement pension beneficiary

Information of retirement pension beneficiary

(Filled up by record office)

(Picture)

1.      Personal information:

A.     Personal/ army number: BJO- 26793

B.     Designation: Subedar

C.     Name: Mizanur Rahman

D.     Core/ regiment: E Bengal

2.      Personal information of pension dependent/ family:

A.     Name of pension dependent/ family: .............................

..........................................................................................

B.     Relation with the death person: ........................................

C.     Description of child pension receiving:

(1)    Name: ................................................. Date of birth: ...............................

............................................................

(2)    Name: ................................................. Date of birth: ...............................

...........................................................................................

Picture of dependent pension beneficiary/ family:

Picture

Picture of pension beneficiaries:

Name: ........................................

...................................................

(Picture)

Name: ..........................................

....................................................

(Picture)

Page No- 3

3.      Address:

(1)    If the retirement person is alive his address:

Village: Shikarpur

Post Office: Same above

Upazilla: Kosba

Poilice Station: Same above

District: B. Baria

(2)    Dependent beneficiary/ family

Address:

Village:

Post Office:

Upazilla:

Police Station:

District:

4.      Bank Account:

A.     Name of the Bank: Janata Bank

B.     Branch (Including address) B- Baria (Prodhan)

B- Baria

C.     Savings- 8966

Duplicate signatures of dependent beneficiary/ family beneficiary/ retirement beneficiary (Three):

Sd/ Illegible

Identification marks of dependent beneficiary/ family beneficiary/ retirement beneficiary:

Signature: Sd/ Illegible

Identification mark: There is cutting mark in the smallest finger of left hand.

Identification marks of child pension receivers:

Name: ..................................... Identification mark: .................................................

................................................                 ................................................................................

Name: ............................................. Identification mark: .........................................

................................................ ................................................................................

Five fingertips of dependent beneficiary/ family beneficiary/ retirement beneficiary:

A.     No 1 finger: X                    B. No 2 finger: X                                             C. No 3 finger: X

D.     No 4 finger: X                    E. No 5 finger: X

Page No- 4

9. Five fingertips of child pension receivers:

A. Name: .....................................................................

(1) ........................................ (2) ......................... (3) ............................. (4) ..................................

(No 1 finger)                                     (No 2 finger)                      (No 3 finger)                      (No  finger)

(5) ........................................

(No 5 finger)

B. Name: .....................................................................

(1) ........................................ (2) ......................... (3) ............................. (4) ..................................

(No 1 finger)                                     (No 2 finger)                      (No 3 finger)                      (No  finger)

(5) ........................................

(No 5 finger)

To be seen:

1.      If there is no instruction in case of child pension mother can receive in favor of the child.

2.      Information of section ‘1’ will be applied in case of family/ dependent beneficiaries, but there will be needed picture.

3.      Cut off the unnecessary part completely making it clear and giving signature it is certified that the information mentioned is correct.

Date: 30/07/2000 AD

Sd/ Illegible

(Seal of office)

Full name with signature of record officer

Name: Md. Aftab Uddin

Major

Personal Number: BA- 2742

Core/ regiment: E Bengal

Information related to retirement pension

(Filled up by FC/ FPO)

Name, designation and number of retirement beneficiaries: BJO- 26793/ Subedar

Mizanur Rahman

Date of retirement: ....................................

PPO refenrence no: PG/ pen/BJO-26793/reshon/ 4beer date not mentioned, Riva no- 21/5/220

TS No- 12680/EBR

Classification of retirement pension:

A.     Service Pension: (Service Pension)

B.     Disability Pension: (Disability Pension)

C.     Family Pension: (Family Pension)

D.     Dependent Pension: (Dependent Pension)

E.      Child Pension: (Child Pension)

F.      Special Pension to Reservist: (Special Pension to Reservist)

G.     Ex Gratia Pension: (Ex Gratia Pension)

(Provide signature and cut off the unnecessary part)

Pension is payable by the bank on dated: 01/01/1990

If any information is available as pre reference of section- ‘3’. ...............................................

Page No- 5

8. Proportionate of retirement pension:

Retirement pension/ other pension	Monthly rate	Bank will pay on the dated	Comments
A.     Retirement pension	511/69
B.     Medical pension	100/=
C.     Festival pension	75/=	01/01/1990
D.     Other pension	46/40
E.      Reshon pension: her wife	247/- 247/-	01/07/2007 AD to lifetime on dated 01/07/2007 AD
F.      From dated 01/07/2010	321/- 321/-

The retirement pension is paid to May 2000 AD.

Total (amount) 733/09

Total (words)

Seven hundred

Taka/ 09 paisa

9. Child pension:

A. Name:..............................................................

(1) ............................... to ................................... dated: monthly: ..............................................

(2) ................................ to .................................. dated: monthly: ..............................................

(3) ................................ to .................................. dated: monthly: ..............................................

(Office seal of AC FPO)

(Seal)

Name:..............................................................

(1) ............................... to ................................... dated: monthly: ..............................................

(2) ................................ to .................................. dated: monthly: ..............................................

(3) ................................ to .................................. dated: monthly: ..............................................

10. Proportionate as mentioned above and as per date to necessity related retirement pension beneficiary pay to him.

Date: 30/07/2000 AD

Signature: Sd/ Illegible

Full name:...........................

Designation:..........................

Office:............................

(Seal)

30/07 AD

Get Example of Affidavit of financial support/Sponsorship/property Valuation from Affidavit of financial support/Sponsorship/property Valuation

BEFORE THE NOTARY PUBLIC OF DHAKA, BANGLADESH

Affidavit of financial support/Sponsorship/property Valuation

In favor of ASIF MAHMUD, Passport Number BF0873872

For Higher Education in New Zealand

I, Ameer Hossain, father of Asif Mahmud, Permanent Adress: Vill Palpara, P.O- Hizla, P.S- Hizla, Dist.- Barisal and my present address: 62-J.N Sha Road, Amligoia, Lalbagh, Posta, Dhaka- 1211, Bangladesh. Phone: +88-01711346084 (Mobile), By faith: Muslim, by Profession: Business, By Nationality: Bangladeshi by birth, do hereby solemnly affirm and declare as follows:

1. That I am citizen of Bangladesh by birty.

2. That My Tax payer Identification Number (TIN): 491581173110

3. That I am the proprietor of Barisal Enterprise, Dhaka 1206, Bangladesh

4. I would like to mention that my son ASIF MAHMUD, Date of Birth- 04-12/1981, bearing passport Number BF0873872 is going to students visa application at the New Zealand High commission, India. He has been offered admission in Diploma Business Level- 7 at national institute of Education, NTEC tower, 20 Hobson street Auckland-1010, P.O Box- 911-312 victoria street st west Auckland 1142, New Zealand.

5. I am willing to bear all his expenses while he will study and stay in New Zealand. In Support of issuing visa in his favor I am ready to produce my financial statement and evidence of regular income.

6. That I will produce the necessary documents showing my financial solvency on demand.

7. That my properties and assets are following:

(For Details please see my asset Valuation Declaration documents)

S.L	Description of property	Present Value in BDT	Present Value in NZ$ (BDT 55.00)
1	I am the proprietor of Bartishal Enterprise at Dhaka-1216, Bangladesh	60,00,000.00	$109090.00
2	I am the owner of total 600+6 Decimals Land in Dhaka District, Bangladesh	1,80,00,000.00 and 100,00,00,000.00	$36181818.00
3	I am owner of a shop, located at Sudorbon Square Market, Gulistan, Dhaka, Bangladesh My Shop No. 110 and total 84.161sft	75,00,000.00	$136363.00
4	My wife also owner of a shop, located at Banga Bazaar Complex, Dhaka, Total 80sft	30,00,000.00	$54545.00
Total NZ			$36481816

8. That I have a sound and solvent income from the following sources:

S.L	Sources of Income	Monthly Income in BDT	Yearly Income in BDT	Value in NZ$  @BDT 55.00/ NZ$
1	Income from Business as a proprietor of Barishal Enterprise at Dhaka, Bangladesh	150,000.00	18,00,000.00	$35454.00
2	Income from Shop Rent	40,000.00	4,80,000.00	$48727.00
3	Income from Bank Deposit (FDR)		83,058.89	$1510.00
Total			BDT 2363058	$42965.00

9. I am aware that I need to bear the following expenses for the applicant per semester while he will study in the New Zealand:

Expenses	For	Funds required per year (In NZ)	Funds required (In BDT) @ BDT 55.00/ NZ$
Tuition fees per year	Student	NZ$ 18,250.00	BDT 9,67,250.00
Living Expenses of Assessment period for calculation (yearly)	Student	NZ$ 15,000.00	BDT 7,95,000.00
Total funds required		NZ$ 33,250.00	BDT 17,62,250.00

10. I will bear all the above mentioned expenses from the following financial involvements:

Type of Deposit	Bank Name	Account Name	Account Number	Current Balance
Fixed Deposit	Standard Chartered Bank	Md. Ameer Hossain	A/C 91207953002	BDT 24,96,000.00
Total NZ$				NZ$ 45381.00

Affirmation of the

“Deponent/sponsor/Guarantor”

I sincerely hope you would be kind enough to favor my only son ASIF MAHMUD by issuing a student’s visa to him. I acknowledge and confirm and I am fully aware of my responsibility as the sponsor of my son ASIF MAHMUD.

The statements made above are true and correct to the best of my knowledge and belief in truth, where of I swear and signed this affidavit of financial support before the Notary Public, Dhaka, Bangladesh.

Md. Ameer Hossain

Deponent (Father)

The Deponent is known to me identified by me and she/he has signed in my presence.

Get Affidavit to submitted by Applicants to Notary Public

Affidavit to submitted by Applicants

(To be executed on non-judicial stamp paper)

I Md. Humayun Kabir S/o/D/o Adul MOtaleb Howlader presently residing at 119 Lake Circus, Kalabagan, Dhanmondi, Dhaka 1205 hereby state as follows: I was born on 08/12/81 (date) in Patuakhali (name of District)

Cont. Page 02

Page- 02

I take oath and solemnly declare/affirm that, I have the legal capacity to enter into a contract with Procuring Entity, and have not been declared ineligible by any of the PE’s under any government/semi Government/autonomous bodies of Government of Bangladesh on charges of engaging in Corrupt, Fraudulent, Collusive of Coercive practices and I further declare that I am a Citizen of Bangladesh.

Cont. Page 03

Page- 03

and the particulars furnished by me above correct and that I have not concealed or misrepresented any facts.

..................................

Signature of the Applicant

Witnesses

1.................................. 2.......................................

Sworn to before me

This ............................... Day of .............................. 20         at....................... .................... ..............................................................................................

Notary Public