People's Republic of Bangladesh
Finance Division, Ministry of Finance
Automated Challan {A-Challan} System
User Registration Form
[For National Board of Revenue (NBR) Only]
ffice Name
Q"o fr\rff\r SSiorrQ.r Tqr
Circle 91(eo-nt$ange: L Zone: g, D\rcko.
Office Address
UpazillalThana District; D\ro.\<o*
Eut[ Name (English) 'fitV,i Sikder'
Full Name (Bangla) RG'
Designation
CotnvniSsio,neF aE Tq,.e>
National lD No. 469+5874 t2-r+r+L Date of Birth 03 t re-l 19gg
EmaillD. tithid \^115 O vho.l\.eorn CellPhone No. ol? \53E696d
Signature (Applicant) Date i,r to9 I 209-3
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Name I t t
Designation CovnrniSStonen
Cell Phone No. ot+ 53 69 61. Signature & Seal rBRFrffi-ts)
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E-maillD tithi drrttE@ rrnoi\. eorn q{tr6+l,q*E{FET-c'qTtl
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Name of the Commissioner Abw caA tqd.
Designation t l^ TqrteDr
Name ofthe Zone \rqKo. Signature & Seal 0
Cell Phone No. t 86 (T
E-maillD naynult
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Atlotted User Login lD
Created
Signature & Seal
Des$nation
Date of Creation
NB. (1)ForanyqueriespleasecontectSPFMSHelpdeskTel.0255lt0*[Link],atThelnstitutionofEngineers,Bangladesh{lEB},(S.d
Floor), Ramna, Dhaka.
The purpose of this form is to register the required
access to Automated challan system (Acs). All
users who need to use
Automated Challan System (ACS) must complete
this form.
The information submitted will be used to build an
accurate account of all those officers and staff accessing
Automated challan
System (ACS)to maintain system security.
No user will be granted access without having completed
the information required overleaf, and having had their
application
approved by their controlling authority.
+$
I (the applicant named overleaf) declare that the
information given is correct and I agree to comply
with all requirements or any
other reasonable conditions that may be imposed by
the competent authority in respect of Automated challan
system (ACS)
access.
I (the applicant named overleaf) acknowledge that all information of system is confidential
and unauthorized disclosure,
falsif,Ting, damaging or any misuse is an offence.
Applicant's Signature !!t
lf approved, as an authorized user of Automated challan
system (AGS) you agree to:
' Keep secure and not disclose to another person the unique
user identifier (User lD) and password allocated to you
' Only use the user lD/Password to access or otherwise receive
data that does not pertain to your role/designation.
' Notifu the system admin if you gain access or othenrvise receive
data that does not pertain to your role/designation.
' Notifu the system admin if you suspect that the security of your
User lD/password is in any way compromised.
' Not copy or distribute system data or applications to any person,
machine or media, unless othenivise authorized.
. Notifo the system admin, if you:
o Change your cunent postion
o change the address or location of your normal prace of connection
o Change any other information submitted overleaf