Jotbazar Banik Somobay Somity Ltd. (JBSS)

Member Admission Application

জোতবাজার বণিক সমবায় সমিতি লিমিটেড

Jotbazar Banik Somobay Somity Limited

Full Name (English) *

Full Name (বাংলা) *

Father's Name *

Mother's Name *

Date of Birth *

Nationality *

National ID (NID) Number *

Passport Number (if applicable)

Present Address *

Permanent Address *

Phone Number *

Email Address

Business Name *

Business Type *

Business Address *

Business Phone *

Business Email

Business Website

Trade License Number *

Trade License Expiry Date *

Business Identification Number (BIN) *

Tax Identification Number (TIN)

Company Registration Number

VAT Registration Number

Annual Business Turnover *

Bank Name *

Bank Account Number *

Branch Name *

Reference 1 - Name *

Reference 1 - Phone *

Reference 2 - Name *

Reference 2 - Phone *

I agree to abide by all the rules, regulations, and bylaws of the cooperative society *

I agree to contribute the required share capital and monthly contributions *

I agree to actively participate in society meetings and activities *

I declare that all information provided in this application is true and accurate *