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Mobile Banking Application Form

Tell us about yourself

Note: All fields containing * must be filled compulsory

सदस्य नं (Member No.)*

Full Name (देवनागरी)

Name(English)*

Address (ठेगाना)*

Mobile No. (मोबाइल नम्बर)*

Account Name (खाताको नाम)*

Account Number*

Upload Mobile Banking Form (Hand Written)*

Upload Citizenship (Front & Back) *