SMART TECHNOLOGIES (BD) LTD.

Jahir Smart Tower 205/1/A, West Kafrul, Begum Rokeya Sharani, Agargaon, Taltola, Dhaka, Bangladesh

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passport size photo
(35 x 45 mm)

EMPLOYEE PERSONAL INFORMATION FORM

Employee ID (fill up by office):

Employee Punch Card No. (fill up by office):

Part A. Employee Information:

Gender: Male Female

Marital Status: Single Married

Permanent address is the same as present address

Part B. Educational Information:

Part C. Emergency Contact:

Part D. Nominee Information:

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nominee's photo
(35 x 45 mm)

Part E. Dependance:

Part F. Bank Account:

Part G. Reference:

Reference 1

Reference 2

Part H. Hobbies & Skills:

Part I. Self-declaration:

I certify that the information provided in this form is true and complete to the best of my knowledge. I understand that any false or falsified information may result in disciplinary action, including termination of employment.

Date:

Signature of Employee — sign with finger or mouse