Form Application For Sid Card 1 5u3n5s

To, The Director General Department of Shipping, Dhaka. Subject: Application for issuance/reissuance of Seafarers’ Identity Document (SID).

PP size photo paste here

Dear Sir, With due respect I am a CDC holder seaman issued by Govt. Shipping Office, Chittagong. I shall be grateful if you issue a Seafarers’ Identity Document (SID) in favor of me. The detail information are given below: 01. National ID & port No. : 02. CDC Number & Date of Issue

:

03. SID Number (if issued)

:

04. Full Name

:

05. Sex

:  Male

06. Nationality

:

07. Date & Place of Birth

:

08. Mailing/Permanent Address

:

09. Number

:

10. Email Address

:

11. Eye Color

:

13. Height (cm)

:

14. Body/Identification Mark

:

15. Seafarer Designation

:

 Female

12. Hair Color:

16. Bank Draft/PO No. & Bank Name : Considering the above information I would request you to kindly issue me a SID at your earliest. Date:................ Candidate’s Signature N.B: Please attach the following: (i) 1 copy of PP size photo, (ii) copy of CDC, (iii) copy of National ID/port, (iv) copy of SID and bring originals at the time of finger impression. ---------------------------------------------------------------------------------------------------------------------For Official Use Approved Date: 01. SID No.

Issuing Authority :

02. Date of Issue

:

03. Date of Expiry

:

Recipient Signature & Date: