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Rapid Pass Registration Form

The document is a registration form for the Rapid Pass Card issued by the Dhaka Transport Coordination Authority. It includes personal information of the applicant, Adittya Sinha Arko, such as name, date of birth, nationality, and contact details. The form also contains sections for office use, including the Rapid Pass Card number and approver's signature.

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arkosinha15
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63 views1 page

Rapid Pass Registration Form

The document is a registration form for the Rapid Pass Card issued by the Dhaka Transport Coordination Authority. It includes personal information of the applicant, Adittya Sinha Arko, such as name, date of birth, nationality, and contact details. The form also contains sections for office use, including the Rapid Pass Card number and approver's signature.

Uploaded by

arkosinha15
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Dhaka Transport Coordination Authority (DTCA)

Road Transport And Highways Division


Rapid Pass Card Registration Form

1. * Applicant Name: Adittya Sinha Arko


2. Father/Husband Name: Monaranjan Kumar Sinha
3. Mother Name: Ratna Rani Das

4. * Nationality: Bangladeshi 5. * Gender: Male

6. * Date of Birth: Day Month Year


0 1 0 1 1 9 7 0

7. * National ID: 5124892612

8. Occupation: Student 9. *Mobile Number: 01522122903

77, Monipuripara, Farmgate, Tejgaon,


10. Address:
Dhaka

11.Other Information (if any):

I hereby certify that the given data is correct. The information


provided can be used for research and database creation of DTCA.

Date: 2025-03-13 Applicant's signature

Office Use Only


* Rapid Pass Card Number Name of Approver:
R P 3 2 2 2 5 0 3 0 4 0 2 1 2 5

[Caution Money - Tk 200/= And Signature of Approver:


Initial Recharge Amount - Tk 200/=]
* Additional recharge amount is not
Date:
displayed in the registration form.

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