BAF Form 20227 (Amended) 88 BAFA COURSE

Roll No O-088-000514 Exam Date : 31 Jan 23

APPLICATION FORM FOR JOINING BANGLADESH AIR FORCE AS OFFICER CADET

Please fill up all fields with correct information. Candidate must bring the filled-up form to exam center for use as admission card.

1. Full Name (in Block Letter): ZAHIDUL HASSAN Gender Male

2. Permanent Address:

. House No/Village N/A Road No

. P.O. Bera Post Code 6680

. P.S. Santhia District Pabna

3. Present Address (for correspondence with the applicant):

. House No/Village 35/A Road No Syednagar society

. P.O. Gulshan Post Code 1229

. P.S. Vatara District Dhaka

4. Telephone/Mobile No: 01788610216

5. Candidate’s Branch Preference (in order of priority):

a. Logistic / ATC / ADWC Recommended for ISSB

.
b.
Signature_______________________________
c.
Recruiting Officer

6. National Identity Card and Birth Registration No:

National Identity No

Birth Registration No 20022692514270336

Warning:
(1) Any communication made with fraud or dishonest person for recruitment purpose will be treated as ineligibility of the candidate
to join Bangladesh Air Force.
(2) Incomplete application form will be treated as ineligible.
7. A) Date of Birth (as per SSC Certificate): 13 Oct 2002

. B) Age (as per date mentioned in Circular): Year 20 Month 8 Day 15

. C) Home District: Pabna

8. Religion: Islam Sect / Caste Sunni For use by ISSB

Index No_____________
9. Identification Mark : Scar on right eyebrow
Board No ____________
10. Email ID [email protected]
Recommendation _____
11. Marital Status (Unmarried/Married/Divorced): Unmarried Signature_____________

. No of Children (If applicable): ISSB

12. Father’s Name and Description

Educational
Name and National ID No: Address Profession Mobile No
Qualification

MD Nur Islam, Bakerganj, Diploma in Civil Construction

2696405600597 Barisal Engineering Engineer 01730084014

13. Mother’s Name and Description

Name and National ID No: Address Educational Qualification Profession Mobile No

Jibon Nesa, 2696405635507 Vatara, Dhaka 1229 HSC passed House wife 01712200353

14. Father-in-Law’s Name and Description (if applicable):

Name and National ID No: Address Educational Qualification Profession Mobile No

15. Mother-in-Law’s Name and Description (if applicable):

Name and National ID No: Address Educational Qualification Profession Mobile No

16. Guardian’s Name and Description (if other than Father):

Name and National ID No: Address Educational Qualification Profession Mobile No

17. Father/Guardian’s Annual Income, Income Tax and other Land Revenue/Tax Paid:

Father / Guardian's Annual Income Annual Income Tax Paid Land Revenue/Tax Paid

660,000

18. Details of Relatives Serving or Retired from Armed Forces & Relation with Candidate:

Serial Name Rank Address Relation Mobile No

Mahbubur Brigadier Dhaka Cantonment,

A) Maternal cousin 01715155194
Rahman General Dhaka 1206

B)

C)

D)

19. Details of two Prominent Personalities who have Close Relation with the Candidate:

Serial Name Profession Address Relation Mobile No

PhD Candidate & TA at Washington DC, New

A) MD Shah Jalal Paternal uncle 01515629246
Howard University York, USA

MD Mahbubur Officer, Bangladesh Dhaka Cantonment, Maternal

B) 01715155194
Rahman Army Dhaka 1206 cousin

Name, Address, Mobile No and Profession of Close Relatives:

20.
(A) Siblings (Brothers and Sisters):

Name Relation Address Education Profession Mobile No

(B) Paternal and Maternal Uncle and Aunty:

Name Relation Address Education Profession Mobile No

Paternal Nabinagar, Diploma in civil Military Engineering and

Abdul Latif Uncle Savar, Dhaka engineering Service(retired) 01949370937

MD Shah Paternal Washington DC, PhD Candidate & TA at

MS 01515629246
Jalal Uncle USA Howard University

MD Kutub Maternal
Uddin Uncle Bera, Pabna Class 10 Business 01190134133

Principal Office
MD Keramot Maternal Uttar khan,
MS investmen Corporation 01720255305
Ali Uncle Dhaka of Bangladesh

Details of two Govt/Non-Govt Officials having Equivalent Status of 9th Grade or Above
21.
(not relative of the candidate, having good knowledge about the candidate):

Serial Name Profession Address Mobile No

Professor, Adamjee Cantonment

(A) Jesmin Jolly Dhaka Cantonment, Dhaka 1206 01720350007
College

(B) Anas Khan Country Manager, Gigabyte Bashundhara R/A, Dhaka 1229 01715822464

Concealment of truth will be considered as ineligibility of a candidate.

Please think before and give correct information to Paragraph No 22, 23, 24, 25, 26, 27, 28 and 29.

22. Educational Qualification:

Serial Name of Exam Education Institute Board/University Group Year GPA/CGPA

Passed

A) PECE Adamjee Cantonment DHAKA 2011 4.83

Public School

Adamjee Cantonment
B) JSC DHAKA 2014 5.00
Public School

Adamjee Cantonment
C) SSC/‘O’ Level DHAKA Science 2017 5.00
Public School

Adamjee Cantonment
D) HSC/‘A’ Level DHAKA Science 2020 5.00
College

Bachelor’s
E) Degree

F) Master’s Degree

23. Break of Study with Reasons (if applicable)

24. Expertise in the field of Games and Sports (if applicable):

Individual/Team Position in the

Name of Institute Details of Games/Sports Year Competition (Please add Photocopy of
Certificate/Medal, if any)

Adamjee Cantonment
College Football 2017-19

GIGABYTE E-sports Athlete 2017-2020

25. Hobby Singing

26. Details of Surgical or Eye Procedures (If candidate has undergone any)

(A) Description of ISSB in which the candidate participated for commission in any branch of Armed Forces (if
27.
any):

ISSB Final Result at Army/Navy/Air Force

Headquarters

Result (Recommended/Screened
Date Batch No Out/Rejected)

07 Mar 2019 80 BAFA Screened Out Screened Out

B) Details of Application to join Army/Navy/Air Force as Officer/Sainik/MODC or Equivalent (if applicable):

28. (A) Nationality Bangladeshi

Was the Candidate born within Territorial Boundary of

. (B) Yes
Bangladesh?

. (C) Nationality of Father of the Candidate: Bangladeshi

. (D) Nationality of Mother of the Candidate: Bangladeshi

. (E) If Father/Mother of the Candidate is not Bangladeshi by Birth:

. . (I) Date of Arrival in Bangladesh

. . (II) Country from which they Arrived in Bangladesh

. . (III) If the Citizen of another Country before, name of Province/State

. . .

. . (IV) Countries Visited (with reason) after Arrival in Bangladesh

. . .

29. Passport No and Validity (if applicable): BY0860057

30. Information on Criminal Case of the Candidate (if applicable):

. (A) Is the Candidate Accused in any Criminal Court (Yes/No)? No

. If answer is ‘Yes’, present state of the case with details

. (B) Is the Candidate Convicted by any Criminal Court (Yes/No)? No

. If answer is ‘Yes’, details of the case

31. Details of Previous Employment in Public/Private Sector with Last Salary Drawn:

32. If the Candidate is a Current/Former Member of Armed Forces:

(A) Date of Enrolment/Employment:

(B) Details of Employment (Branch/Trade/Corps/Regiment

etc):

(C) Present Rank

. (D) Date and Details of Leaving Armed Forces (Photocopy of Certificate should be Attached):

33. Declaration:

(A). I do hereby solemnly declare that the abovementioned information is accurate and true to the best of my
knowledge and belief. I understand that I shall be liable to disciplinary action and cancellation of my application
by Bangladesh Air Force for any of my wrong, misleading or incomplete information given above; or any forgery
in respect of my educational certificates or marksheets. I am also aware that if any such wrongdoings are
revealed during training, I shall be liable for withdrawal from such training and make repayment of entire cost of
training imparted to me.

(B). I do hereby indemnify the officials involved to conduct examinations in respect of ‘Inter Services Selection
Board (ISSB)’ or ‘Selection Board at Air Headquarters’ event. I do further consider that such examinations and
.
events are mandatory requirement of recruitment process. As such, in case of injury or bodily harm (if any)
sustained by me during such examinations shall be considered as done in good faith.

Signature of Candidate

Date Full Name of Candidate

(FOR USE AT AIR HEADQUARTERS)

Remarks:

Date Signature: