CIVIL AVIATION AUTHORITY OF BANGLADESH

Aviation Security (AVSEC)

Headquarters, Kurmitola
Dhaka-1229
Phone: +880-2-7911041-3
Fax: +880-2-8901411
E-mail: avsec@caab.gov.bd
Web: www.caab.gov.bd

APPLICATION FOR AIRPORT SECURITY PASS

Warning: Knowingly providing false information in connection with an airport security pass application is an
offence under the law of the land.
IMPORTANT INSTRUCTION: PLEASE READ ALL INSTRUCTIONS/INFORMATION PROVIDED CAREFULLY BEFORE
COMPLETING THIS APPLICATION
a) Use this application form to apply for an Airport Security Pass valid for the restricted areas of Civil Aviation Airports either initial
issue or re-issue.
b) It should be completed and submitted with the necessary documents to the Aviation Security Cell at CAAB HQ.
c) The application will not be processed if all sections as indicated are not completed or if the necessary documents are not
enclosed.
d) For further instructions and information, please see overleaf of this page.

OFFICE USE ONLY

Applicant name
Employer name
Employer address
Type of application Initial issue Re-issue Lost/theft
Received application ____/____/________ Produced on ____/____/________
Forwarded for Police
____/____/________ Pass number
Verification
Received Police Awareness training
____/____/________ ____/____/________
Verification provided on
Approval Date ____/____/________ Payment received on ____/____/________

Approved color code Issue Date ____/____/________

Expiry date ____/____/________

Signature of pass issuing office

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INFORMATION AND INSTRUCTIONS FOR APPLICANT AND EMPLOYER/AUTHORIZING ORGANIZATION

Access to the security restricted areas of an airport is subject to the provisions of the Civil
Aviation Rule 1984. The requirements for admission vary depending on your place of work
and the hours you work here. Anyone who is regularly employed by an organization or
General information
company located at the airport requires a permanent security pass. Anyone who requires
admission to the airport security restricted areas for a short time only requires a visitor
identity card.
1. Application for an airport security pass (Part-I), completed and signed by you and your
employer and/or authorizer. (This application with original signatures must be submitted
to the approving authority office).
2. Application for police verification (Part-II).
What documents are 3. Forwarding letter from organization you are working for or authorizer.
required when 4. Copies of national ID card or a copy of your passport.
applying for an airport 5. Copy of employee ID card.
security pass? 6. Copy of passport and VISA ( for foreign national)
7. 03 copies of passport quality photo as specified in this form.
8. Copy of valid AOC/Permission/Flight schedule (where applicable) that is approved by
CAAB.
9. Copy of agreement with CAAB or other organization (where applicable).
10. Copy of work order (where applicable)
11. Copy of driving licence (where applicable)
Need for Airport The approving authority only issue an airport security pass to a person if they have
Security Pass operational or official need.
Permanent access to the security areas is subject to a valid police verification pursuant to
Police Verification rule 283(2) (d) of the Civil Aviation Rule 1984. You are required to submit the attached police
verification form along with this application to the approving authority. The approving authority
will send the form along with your information to the Special Branch of Bangladesh Police.
Before you will be issued with airport security pass, you must successfully complete an
Aviation Security
aviation security awareness training programme in accordance with the National Aviation
Awareness
Security Training Regulations. This training will take place at the issuing authoritys pass
Training/briefing
office before you would receive the pass. Please follow the prescribed schedule for
awareness training at airport pass issuing office.
Application Period Keep in mind that the time required to process an application for an airport security pass will
be between six and eight weeks due to the time required to complete the police verification.
When your application is approved, you will be notified by the issuing office to take a
Photography photograph for using in your pass. In case of renewal photography is not required, but if you
wish, you can change the photo and notify issuing office accordingly.
As soon as all conditions have been fulfilled you will receive notification by email or by letter
Collection of Security
that your pass is ready to be picked up. To collect your pass, please bring a valid National ID
Passes
card or a passport.
The Airport Security Pass is not transferable. Holders of airport security pass must return the
pass, in case of change of employer or termination of their contact. The loss of an airport
Returning of Security
security pass must be reported to the airport pass issuing office and nearest police station
Passes
immediately. All airport security pass remain the property of the Civil Aviation Authority of
Bangladesh.

CAAB AIRPORT SECURITY PASS APPLICATION FORM

 Page 3 of 10

PART - I 35mm

SECTION A: GENERAL INFORMATION

45mm 45mm
NAME OF AIRPORT: Choose an airport
36mm

TYPE OF PASS: Regular Temporary

ISSUE TYPE: Initial issue Re-issue

Paste here current passport size
COLOR CODE OF photo with white background
REASON FOR RE-ISSUE: PREVIOUS PASS: attested on top

PREVIOUS PASS IF LOST, PROVIDE GD

NUMBER: NUMBER:

SECTION B: APPLICANTS INFORMATION

FULL NAME (BLOCK

LETTER):

FATHERS NAME:

MOTHERS NAME:

SPOUSE NAME:

NATIONALITY: DATE OF BIRTH: Day Month Year

PERMANENT
ADDRESS:

PRESENT ADDRESS:

CONTACT
Phone: Cell: e-mail:
INFORMATION:

OCCUPATION: NATIONAL ID NUMBER:

PASSPORT NUMBER TYPE OF

(if any): PASSPORT: Choose an option
COLOR OF
BLOOD GROUP: HEIGHT: COLOR OF HAIR:
EYES:
NAME OF
EMPLOYER:
TYPE OF EMPLOYER: Air Transport Business Entity

ADDRESS OF
EMPLOYER:
Phone: Fax: e-mail:

APPOINTMENT: Staff Number:

Nature of Nature of Duty at

Appointment: Permanent Airport:
Regular
Location of Office at
Work Place:
Airport (If Any):
CAAB AIRPORT SECURITY PASS APPLICATION FORM
 Page 4 of 10

SECTION C: TO BE COMPLETED BY FOREIGN NATIONAL ONLY

NAME OF EMBASSY/FOREIGN
MISSION/OFFICE:
PASSPORT Place of issue: Date of issue: Date of expiry:
INFORMATION:
VISA Visa number: Visa type: Expiry date:
INFORMATION:
IMMIGRATION Date of arrival: Expected date of departure:
INFORMATION:

DIPLOMAT ID NUMBER VALIDY OF WORK PERMIT BY

BY MOFA(if any): BOARD OF INVESTMENT (if any):

SECTION D: MARK AREA(S) WHERE ACCESS IS REQUIRED

GIVE REASONS FOR ACCESS (TO BE INITIAL BY EMPLOYERS
MARK RESTRICTED AREAS OF AIRPORT COMPLETED BY EMPLOYERS AUTHORIZED OFFICIAL
AUTHORIZED OFFICIAL)
Terminal Building: Areas after departure immigration

Terminal Building: Shops, restaurants and lounges after

departure immigration
Airside: Baggage make-up

Airside: Aircraft movement and footprint area

Terminal Building: Arrival immigration areas

Terminal Building: Customs area

Terminal Building: Shops before arrival immigration

Terminal Building: Baggage reclaim areas

ATC Facility: Control tower and operation building

Airport Facility: Power houses

Export Cargo: Air cargo sterile area (ACSA)

Airside

Export Cargo: Cargo areas other than ACSA

General aviation
Terminal Building: Concourse areas and offices in non-
restricted areas of terminal building
Terminal Building: Airport lounges in Non-restricted areas

VIP lounge corridor

Domestic concourse

Domestic sterile area

CAAB AIRPORT SECURITY PASS APPLICATION FORM

 Page 5 of 10

SECTION E: APPLICANTS DECLARATION

Mark in the appropriate box:

a) Have you ever been involved in any unlawful activities in any airport in Bangladesh? Yes No

b) Have you ever violated any airport, immigration and customs rules in any airport in Bangladesh? Yes No

c) Have you ever been blacklisted by Civil Aviation Authority of Bangladesh for any misconduct in any airport
Yes No
in Bangladesh?

I, do hereby certify that all statement and information given by

me in this application are true and correct in every particular.

DATE: (Signature as given in NID/PP)

SECTION F: VERIFICATION BY EMPLOYER

This is to certify that Mr./Ms. is an employee

of and all information given by him/her are true. His/her

character and antecedent has been verified from his previous organization for which he/she worked for or known

references by and nothing adverse found against him/her. The

applicant is required to enter the RESTRICTED AREA of Choose an airport on

regular / occasional basis to perform his/her official duties and as such may be issued with a permanent/ temporary

Airport Security Pass. His/her Airport Security Pass will be returned to the issuing authority as and when his/her present

assignment is changed or when asked by the Pass Issuing Authority.

DATE: (EMPLOYER AUTHORIZED SIGNATURE WITH NAME, DESIGNATION AND OFFICIAL SEAL)

CAAB AIRPORT SECURITY PASS APPLICATION FORM

 Page 6 of 10

SECTION G: RECOMMENDATION FOR POLICE VERIFICATION (To be completed by approving authority)

CHECKLIST REMARKS BY AVSEC
a) Application form is completed and signed by applicant and employer All required information are provided by the applicant. There is no record
and/or authorizer.
b) Recommendation letter from organization/MOFA/Ministry is of adverse activities against him/her in CAAB records, the application may

accompanied. be forwarded for police verification.
c) Copies of national ID card or passport is provided.
d) Copy of employer ID card is provided The application may not be forwarded for police verification:
e) Copy of MOFA ID is provided (for foreign national only)
a) All or some of required information are not provided by the
f) Copy of work permit is provided (for foreign national only)
applicant.
g) Copy of VISA is provided (for foreign national only)
h) 03 copies of passport quality photo as specified are provided
b) There is an adverse record against the applicant as follows:

i) Copy of AOC/flight schedule/agreement/work order is provided ________________________________________________
(where applicable)
j) Previous copy of ID is provided (in case of re-issue) ________________________________________________
k) Copy of GD entry is provided (in case of lost/theft)
c) Other reasons __________________________________

___________________________________________________

Police verification may not be applicable for the applicant.

DATE: (SIGNATURE BY
INITIATING OFFICER)

Forward / Not Forward

DATE: CHECKED BY DATE: (SIGNATURE BY HEAD OF AVSEC)

SECTION H: APPROVAL OF PASS

RECOMMENDATIONS OF AVSEC APPROVAL
The police verification report of the applicant received on ____/______/_______, there is nothing adverse
reported by SB, the application for airport security pass may be approved/renewed as:

a) AREAS OF VALIDITY:
RED YELLOW BLUE GREEN BLACK B C DOM GA
b) PERIOD OF VALIDITY
02 Years 01 Year _________Month(s)

____________Days Up to _______/_______/________
The application for airport security pass may not be approved for following reason(s):

a) The police verification report is not satisfactory, and/or

b) The application for airport security pass is not justified, and/or
___________________________________________
___________________________________________

(HEAD OF AVSEC)

DATE_____/_____/_________ (Signature and Seal of AVSEC) DATE___/___/______

CAAB AIRPORT SECURITY PASS APPLICATION FORM

 Page 7 of 10

SECTION I: ISSUANCE OF AIRPORT SECURITY PASS

The Airport Security Pass may be issued as approved.

DATE: _____/_____/_______ (SIGNATURE OF ISSUING AUTHORITY)

The application data entry on
_____/_____/________ The airport pass number _________________ is
ready for delivery.
The card produced on
_____/_____/________
Schedule date of Awareness Training
_____/_____/________
Charges
Pass issue/renewal charge (if applicable)
_________Tk
Penalty for lost/theft pass
_________Tk
Total Charges (Seal with signature of the pass
_________Tk
production officer)

SECTION J: ACKNOWLEDGE OF RECIEPT OF AIRPORT SECURITY PASS

(THIS SECTION IS TO BE COMPLETED ONLY AT THE TIME OF AIRPORT SECURITY PASS COLLECTION)

By signing below, I acknowledge receipt of Airport Security Pass number ______________ and that this pass always
remains the property of CAAB. I further acknowledge that the pass is on loan to me whilst I am employed in my current
role with ______________________________________________. And, I declare that:
a) I will return the pass to the CAAB on the cessation of my present employment or assignment;
b) The airport security pass will be used by me for official purposes only;
c) The airport security pass will be presented when asked by the issuing authority or authorized officials of CAAB;
d) In case of loss/ theft, I shall immediately report the matter to the nearest police station with an intimation to the
issuing authority.
Signature
Name of Applicant:
with date:
Name of Issuing Signature
Officer: with date:

CAAB AIRPORT SECURITY PASS APPLICATION FORM

 Print this page as blank

CAAB AIRPORT SECURITY PASS APPLICATION FORM

 Page 8 of 10

PART-II
POLICE VERIFICATION FORM
Enclose a passport
The Civil Aviation Authority require that all airport pass-holders with access to the security restricted areas of quality photo here
an airport must undergo a Criminal Record Check by the special branch of Bangladesh Police. The applicant must attested on back
provide following information from all states where he stay for at least 6 months during last 5 years.

SECTION A: PERSONAL INFORMATION

FULL NAME (BLOCK
LETTER):

FATHERS NAME:

MOTHERS NAME:

SPOUSE NAME:

NATIONALITY: DATE OF BIRTH: Day Month Year

PERMANENT
ADDRESS:

PRESENT ADDRESS:

CONTACT
Phone: Cell: e-mail:
INFORMATION:

OCCUPATION: NATIONAL ID NUMBER:

PASSPORT NUMBER TYPE OF

(if any): PASSPORT: Choose an option
COLOR OF
BLOOD GROUP: HEIGHT: COLOR OF HAIR:
EYES:
NAME OF
EMPLOYER:
TYPE OF EMPLOYER: Air Transport Business Entity

ADDRESS OF
EMPLOYER:
Phone: Fax: e-mail:

APPOINTMENT: Staff Number:

Nature of Nature of Duty at

Appointment: Permanent Airport:
Regular
Location of Office at
Work Place:
Airport (If Any):

CAAB AIRPORT SECURITY PASS APPLICATION FORM

 Page 9 of 10

SECTION B: CURRENT AND PREVIOUS ADDRESS OF THE APPLICANT

List current address first then previous addresses below, covering past FIVE years. There must be no gaps Period of residence (If actual dates are unavailable,
greater than 3 months between addresses. Must be full address details including Street, Town, District, Police month/year or year will suffice)
Station and Postcode
to

to

to

to

to

to

to

to

to

to

SECTION C: APPLICANTS EMPLOYMENT HISTORY

List Current EMPLOYER name first then previous employer for which you worked for below, covering past TEN years. Must be full
address details including organization name, position hold, supervisor name and contact number.
to

to

to

to

to

to

to

to

CAAB AIRPORT SECURITY PASS APPLICATION FORM

 Page 10 of 10

SECTION D: DISQUALIFYING CRIMINAL OFFENCES.

You must complete a check box for each disqualifying offence. If you answer Yes to any of the following, you may ineligible to
obtain airport security pass and may be required to provide additional information for further processing of your application.
Have you ever been convicted for or involved in
Yes No Yes No Have you ever been convicted for bribery?
espionage?
Have you ever been convicted for or involved in
Yes No Yes No Have you ever been convicted for smuggling?
sedition/treason?
Have you ever been convicted for or involved in
Yes No Transporting, storage of, or dealing in an explosive Yes No Have you ever been convicted for immigration violations?
or explosive device?
Have you ever been convicted for or involved in
Yes No Attacks against law enforcement or civil aviation Yes No Have you ever been convicted for robbery?
facilities?
Have you ever been convicted for or involved in any Have you ever been convicted for distribution of, intent to
Yes No Yes No
of the following? distribute, or importation illegal drugs?
Have you ever been convicted for unlawful entry
Yes No Yes No Have you ever been convicted for arson?
into an airport?
Have you ever been convicted for assault with intent Have you ever been convicted for conspiracy or attempt to
Yes No Yes No
to murder? commit any of these crimes?
Have you ever been convicted for Kidnapping or Have you ever been convicted for unlawful possession, use,
Yes No
hostage taking? sale, manufacture, purchase, distribution, receipt, transfer,
Yes No
Have you ever been convicted for rape or shipping, transporting, import, export of, or dealing in a
Yes No
aggravated sexual abuse? firearm or other weapon?

The information I have provided in this application is true, complete and correct to the best of my knowledge and belief and provided
in good faith. I understand that a knowing and willful false statement can be punished under the law of the land. I will immediately
notify the Civil Aviation Authority of Bangladesh, if I am arrested or charged with any of the disqualifying crimes listed above.

DATE: (APPLICANTS SIGNATURE)

SECTION E: COMMENTS FROM SPECIAL BRANCH OF BANGLADESH POLICE

Nothing adverse found against the applicant, the applicant is security cleared to obtain Airport Security Pass to the
security restricted areas of airport

The applicant is not eligible for allowing to the security restricted areas of airport for following reasons:

DATE: ____/____/________ (NAME, SIGNATURE WITH SEAL OF THE VERIFYING OFFICIAL)

DATE: ____/_____/________ (COUNTER SIGNATURE BY AUTHORIZED PERSONNEL)

CAAB AIRPORT SECURITY PASS APPLICATION FORM