Member Registration

Full Name *

Date Of Birth *

Father's Name *

Mother's Name *

Email (Optional)

Phone *

Permanent Address

Village *

Post Office *

District/Zila *

Upazila *

Detail Address

Present Address

Same as permanent

Village *

Post Office *

District/Zila *

Upazila *

Detail Address

Present Factory *

Section *

Designation *

Total Experience (Year) *

Education Qualification *

Blood Group *

NID/Birth Certificate *

Photo Upload *

Nid Front Image *

Nid Back Image *

Office Card Image *

Member Type *

Payment Method *

Amount *

Account No *

Transaction Information *

Login Details

Phone

Password * password must be at least 8 characters

Re-Password *

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