Member Registration

Personal Information

Full Name (Bengali/English) *

Father/Spouse Name *

Mother Name *

Nationality *

National ID Number (NID) *

Religion *

Profession *

Contact Information

Mobile Number *

WhatsApp Number

Email

Present Address

Village/Road *

Post Office *

Thana *

District *

Permanent Address

Present and Permanent Address are Same

Village/Road *

Post Office *

Thana *

District *

Nominee Information (Maximum 2)

Nominee 1

Nominee Name *

Relation *

NID/Birth Certificate Number

Mobile Number

Nominee 2

Nominee Name

Relation

NID/Birth Certificate Number

Mobile Number

Document Upload

Applicant Photo (Passport Size) *

Applicant NID Copy *

Nominee 1 Photo

Nominee 1 NID/Birth Certificate Copy

Investment & Share Information

Number of Shares *

Monthly Installment Amount (৳) *

Referred By (Optional)

Primary Membership Application Form