Customer Registration Form (Broadband Internet)
for All
(Fields with
*
are must required)
Full Name
*
Mobile No.
*
Email Address
*
NID
(Optional)
District
*
select
ID
NAME
Upazila/Thana
*
select
ID
NAME
Address
*
Connection For
*
select
ID
NAME
Package
*
select
ID
NAME
1
MINOR+ 12 MBPS for Home
2
JUNIOR+ 20 MBPS for Home
3
LEARNER+ 35 MBPS for Home
4
BASIC+ 45 MBPS for Home
5
PRIMARY+ 55 MBPS for Home
6
DOMINANT+ 65 MBPS for Home
7
CONFIDENT+ 80 MBPS for Home
8
POSITIVE+ 100 MBPS for Home
9
SME PRO 30 MBPS for SME
10
SME ULTRA 40 MBPS for SME
11
SME MAX 50 MBPS for SME
Already have ONU? (Please click "Yes" if you already have an ONU Device)
MRC
OTC
Service Charge
Sub-Total
Discount (OTC)
Discount (MRC)
MRC Vat
Net MRC
Net OTC
Total Net Payable
Verification Code
Code
*
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