Data Access Request Form

Please provide your personal and contact details

Full Name *

Designation *

Institution / Organization *

National Id

Passport

National ID *

Phone Number *

Email Address *

Address *

Describe your research project and methodology

Title of Research *

Research Objectives *

Research Duration (Intended - Start Date) *

Research Duration (Intended - End Date) *

Survey

Census

Both

Year / Series *

Data Description (Name of Surveys/Censuses) *

Methodology Summary *

Additional Information (Optional)

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Please read and agree to the Non-Disclosure Agreement

Bangladesh Bureau of Statistics
Computer Wing — Microdata Analysis Lab
Parishankhyan Bhaban, E-27/A, Agargaon, Dhaka-1207

Conditions of Access

Researcher shall access microdata only within the Microdata Analysis Lab.
Researcher shall not copy, download, or remove microdata outside the Lab.
Researcher shall not attempt to identify or contact any respondent.
Researcher shall save work only in designated folders.
All outputs must undergo disclosure review before release.
Violation of this agreement may lead to termination of access, cancellation of research approval, under the Statistics Act.

I have read and understood the conditions and agree to abide by them *

Name of Researcher

Institution

Full Name (as signature) *

Date *

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