Expert Online Application FormUser DetailsName:Father's Name:Occupation:- Select Occupation -StudentBusiness OwnerGovt Job HolderPrivate Job HolderFreelancerHousewifeUnemployedOrganization/Institute / Company:Contact No:Alternate ContactConnection Address:Floor: Right Left Front BackE-mail:Technical DetailsAccount Types Individual CorporatePackage:- Select Package -Varendra Basic 35 mbps 525 TakaVarendra Starter 60 mbps 630 TakaVarendra Simple 70 mbps 735 TakaVarendra Popular 90 mbps 840 TakaVarendra Premium 120 mbps 1050 TakaVarendra Signature 150 mbps 1260 TakaVarendra Ultra 180 mbps 1575 TakaMarketing Person:Technical Team:ONU Mac Address:Google L/L:User Name:Password:OLT No:PON:Main Splitter:1st sub:2nd sub:CoreType 4CFFiber UsedType 2CFFiber UsedBilling DetailsConnection fee(Non refundable)Security deposit (refundable)Monthly BillBilling Date:Total Amount BDTDo you have your Own ONU?- Select -YESNOUpload ONU Front PhotoChoose ONU Front Photo Upload ONU Back PhotoChoose ONU Back Photo Special Note:UploadsUpload Your PhotoChoose your photo Upload Your Location PhotoChoose your location photo Upload NID FrontChoose your NID front Upload NID BackChoose your NID back I have read and agree to the Terms and Conditions and Privacy Policy and Refund Policy .Submit Form
