Employers’ Counter - New Enrolment

* Compulsory Fields
Employer Enrolment
District : (জিলা)
: (পিন)  
: (ফোন নং) -  
Web address url: (ওয়েব অ্যাড্রেস)  
Contact Person Information
Contact Person Name* : (যোগাযোগ করার লোক)  
Designation* : (পদের নাম)  
Mobile No* : (মোবাইল)  
E -mail id* : (ই-মেল)  
Security Code* :  
I have read, understood and agreed to the Terms and Conditions governing the use of Employment Bank
I hereby declare that all the information furnished above is true to the best of my knowledge and belief.