Form for FBCCI Youth Directory

Please Note: The questionnaire below is for the FBCCI youth directory that is in the process of being published. The
business details or information you provide will be strictly confidential in exception to the contact, address which will be
listed in the directory. The person filling the questionnaire should ensure that all information provided in this form is
accurate and is not in any manner falsified. You may use additional pages for further information

Name of the Firm: ..

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Registration or Trade License No: ....
Full Office Address:
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Telephone: ... Fax: Mobile:
Website (if any): Email Address:
Name of Owner/ Proprietor/ Managing Director/CEO: .
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Date of birth of the Owner/ Proprietor/ Managing Director/CEO (dd/mm/yyyy): ././.....
(Please attach a copy of your National Certificate)
Educational qualification. TIN No. ...
Approximate Capital Investment: BDT

No. of employees:

Nature of Business: .
Which sector does it operate in? For example Engineering, Construction, Pharmaceuticals, Leather,
Retail, Training Institute, Language Centre, Marketing Firm, Ad Firm, Financial, ICT, Restaurant,
Car Repair Service, Security Services, Computer Repair, etc.
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Brief Summary and vision of your business:
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Description of Social Activities (if any).....
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