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Application Form
Full Name
*
Full Name
Father's Name (English)
Father's Name (বাংলায়)
Mother's Name (English)
Mother's Name (বাংলায়)
Husband's Name (English) if applicable
Present Mailing Address (English)
Present Mailing Address (বাংলায়)
Permanent Address (English)
Permanent Address (বাংলায়)
Contact Details
Office
Residence
Email
*
Phone
Fax
Date of Birth
Age
Profession/Occupation
Nationality
National ID Card No:
TIN No:
Passport No:
Religion:
Plot Details
Block:
Plot No:
Road No:
Area:
Specification:
Rate Per Katha:
Total Value:
Nominee Details
Nominee's Name
Father's Name
Mother's Name
Husband's Name (If applicable)
Present Mailing Address
Relation with Applicant
Mood of Payment
Payment Schedule
Full
Half
12 M
24 M
36 M
60 M
72 M
84 M
Rate Per Katha
Extra Value:
Total Value:
Booking Money:
Down Payment:
Cash/Pay Order/CQ No:
Bank & Branch:
Rest Amount
Instalment Per Month
Instalment Start
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