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Om 37mm X 37mm photograph (1 copy) APPLICATION FOR BANGLADESH VISA PLEASE FILL IN OR TYPE IN BLOCK LETTERS. 1. Name 2. Date of Birth 3. Place of Birth 4. Nationality 6. Place of Issue 7. Date of Expiry e. g. 26-Mar-1971 5. Passport # e. g. 26-Mar-1971 8. Sex Male 9. Marital Status Single Female Married Widow/Widower Divorced 10. Name of Spouse 10.a. Nationality 11. Name of Father 11.a. Nationality 12. Name of Mother 12.a. Nationality 13 a. Profession 13 b. Name of th.

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