Covid-19-Aid-Form

evsjv‡`k Company/Organization Information No.: ________

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Bangladesh Computer Samity
Name of the
BCS MID No.:
Company/Organization:

Address:

Mob: Tel: E-mail:

Hardware Import Hardware Retail Software Develop
Solution & Service E-Commerce IT Enabled Service
Nature of Business: Training Web Development E-Waste Management
ISP Others ...........................................................

Type of company: Proprietorship Partnership Incorporated

Yearly Turnover (2018-2019):

Employees’ Information:

Number of Employees: Male: Female: Total:

Total Salary/per month:

Bank A/C Cash
Salary Disbursed by:

Office/Showroom Rent& Utility Cost Information:

Space of Office/Showroom/
Warehouse/Godown
(if any):
Total Rent/per month:
Approximate Monthly Utility Cost:

Total Monthly Operational Cost:

Effect on business due to Coronavirus (use description annex, if be required)

Reason and Type of Support seeking from the Government to overcome Coronavirus effect in Business
(Proposal):(use description annex, if be required)

Submitted by: Name: Designation:

Signature: Date:

Member of :
BCS Branches
Barisal : barisal@bcs.org.bd Comilla : comilla@bcs.org.bd Jessore : jessore@bcs.org.bd
Bangladesh Computer Samity (BCS) Khulna : khulna@bcs.org.bd Mymensingh:mymensingh@bcs.org.bd Rajshahi: rajshahi@bcs.org.bd
House-33/B, Road-04, Dhanmondi, Dhaka – 1205, Bangladesh Sylhet : sylhet@bcs.org.bd Chittagong : ctg@bcs.org.bd
Phone: 880-2-9671342, 9671350, Fax: 880-2-9671342, 9671350 Ext.108
Email: samity@bcs.org.bd, URL: www.bcs.org.bd