Branch Name --Select-- Baruna-1 Baruna-2 Rongpur Noapara

Member code

Member's Name

Member's Age

Member's Gender --Select-- Male Female Common

Member's Phone

Business Address

Business Type --Select-- Any Wholesaler Any Wholesaler (Grocery) Any Wholesaler (Medicine) Auto Parts Store Bakery Shop Clothing Store Computer Servicing Computer Store Cosmetics Crockeries Dealer Electrical and Electronic Accessories Garage Grocery Store Hardware Hotel Library Machinery and Equipment Metal Products Store Mobile Accessories Mobile Servicing Mobile Store Motor Parts Pharmacy Plastic Utensils Poultry Shop Press & Printing Accessories Restaurant Salon/Parlor Sanitary Shoe Seller Sports Shop Stationary Super Shop Tailor Tea Stall Vegetable Shop

Years of Operations

Trade License Yes No

Bank Account Yes No

Rent deed period left in years

Rent advance amount given

Select Shop Photo