Client Name*
Package* Silver Pack (500.00 - 10Mbps) Smart Pack-1 (600.00 - 20Mbps) Smart Pack-2 (800.00 - 30Mbps) Smart Pack-3 (1000.00 - 40Mbps) Smart Pack-4 (1200.00 - 50Mbps) Smart Pack-5 (1500.00 - 60Mbps) 3000TK-Pkg6 (3000.00 - 100Mbps)
Type of Connectivity* Shared Dedicated
Payment Method* Cash from Home Cash Office bKash Rocket iPay Card Bank Corporate
Signup Fee
Cell No*
Alternative Cell No 1
Address
Occupation
Email
National ID
Previous ISP
Feedback
Image
NID Front Side
NID Back Side
Agree With Our Conditions Yes No