Mr.Ms.Mrs.

Mobile No.

Email Address

Employment Status

PermanentContractualOthers

Representative/Agent of

Any Deposit Account ProductMonthly Deposit ProductFDR ProductRetail Loan ProductSME Loan ProductCredit Card ProductOther Banking Products(Specify)

Available product I want to sale

Deposit Products

Deposit Account Products

Current AccountSpecial Notice Deposit (SND) AccountSavings AccountStudent Savings AccountWomen Savings AccountSavings Account with daily InterestSavings Account with different Interest rateFC AccountResident Foreign Currency Deposit Account (RFCD Account)Export Retention Quota Account (ERQ Account)Other Account Products (specify)

Monthly Deposit Scheme Products

Regular Monthly Deposit SchemeEducation SchemePension SchemeMarriage SchemeLakpoti SchemeMillionaire SchemeKotipoti SchemeHome Deposit SchemeMedical Deposit SchemeOther Scheme Products (specify)

Fixed Deposit (FD) Account Products

Fixed Deposit Receipt (FDR)Monthly Income SchemeDouble Benefit SchemeTriple Benefit SchemeOther FD products(specify)

Loan Products

Retail Loan

Personal LoanCar Loan/Auto LoanHome LoanAny Purpose LoanConsumer Goods Purchase LoanProfessional's LoanDoctor's LoanEducation LoanSalary LoanFestival LoanHealth LoanMarriage LoanSenior Citizen Support LoanOverseas Employment LoanGreen LoanTravel LoanCNG Conversion LoanOverdraft Secured LoanInstallment based Secured LoanOther retail loan Products

SME Loan

Agriculture LoanAny Purpose Business LoanBusiness expansion / purchase of fixed assets LoanBusiness LoanBusiness Loan for ImportBusiness Loan for LeatherProject LoanWomen Business LoanWorking Capital LoanBusiness Loan for TechnologyBusiness Loan for TransportConstruction and supply business LoanGreen LoanSeasonal LoanNGO LoanStartup LoanOthers SME Loan(Specify)

Card Products

Credit Card Products

VISA Classic LocalVISA Classic DualVISA Gold LocalVISA Gold DualVISA PlatinumVISA SignatureMasterCard Silver LocalMasterCard Silver DualMasterCard Gold LocalMasterCard Gold DualMasterCard PlatinumMasterCard TitaniumMasterCard WorldAmex Gold DualAmex PlatinumJCB GoldJCB StandardDiners Club PrimeraDiners Club UltimaOthers Credit Card(Specify)

Debit Card Product

Local Debit CardInternational Debit CardDual Currency Debit CardBusiness Debit CardIslamic Debit CardNRB Debit CardStudent Debit CardOthers Debit Card(specify)

Prepaid card Products

Fixed Deposit Receipt (FDR)Monthly Income SchemeDouble Benefit SchemeTriple Benefit SchemeOther FD products(specify)Local Prepaid/ Gift CardInternational Prepaid CardPrepaid Hajj CardPrepaid Remittance CardCo-Branded Business Prepaid CardPayroll Prepaid CardStudent Prepaid CardDual Currency Prepaid CardVirtual Prepaid CardOthers Prepaid Cards(Specify)

NRB Products

NRB Savings AccountNRB Current AccountForeign Currency (FC) AccountNRB Monthly Deposit SchemeNRB FDRMonthly Income SchemeForeign Currency FDR/NFCD AccountWage Earner’s Development Bond (WEDB)US Dollar Investment BondUS Dollar Premium BondNRB Personal LoanNRB Home LoanInternational Debit CardInternational Credit CardPrepaid Remittance CardInternational Prepaid CardOthers NRB Products (Specify)

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(a)Information I provided here is correct (b)I will contact with the applicant which is provided by bankbangla.com to me within 3 working days or shortest period of time (c)I never use applicant information any other purpose (d)I provide correct information regarding me & my product to applicant (e)I handle client query very much gently & quite way (f)I permit bankbangla.com to provide my mobile number/email to applicant for their query (if required) (g)If I change my present job position or any other relevant query I will inform bankbangla.com through following mail bankbangla.com@gmail.com