Registration

Registration Event

Step 1

Type of applicant:

District Promoter

SubDistrict Promoter

Union Promoter

Village Promoter

District *

Sub-district *

Union *

Village *

Photo

Full Name :*

Father's Name : *

Mather's Name : *

Email Address : *

Phone : *

Password : *

Confirm password : *

NID :

Birth certificate number :

BirthDate :

Sex : *

Step 2

Bank Information

Account Name :

Account No :

Bank Name :

Account Branch :

Mobile Bank Name :

Associated Mobile No :

Academic Information

S.S.C

Result :

Division :

Year :

H.S.C

Result :

Division :

Year :

Bachelor/Hons. (or equivalent)

Result :

Division :

Year :

Facebook Profile

Facebook Account URL :

Facebook Profile Name :

Step 3

Nominee

Nominee Name :

Relationship with the Nominee :

Nominee's Permanent Address :

Nominee's Birthdate :

Referrer

Referrer's Name :

Relationship with the Referrer :

Referrer's Permanent Address :

Referrer's Phone :