Winux User

EMPLOYEE REGISTRATION FORM

Personal Information

	Fields marked with [ * ] are compulsory.
*Employee Name :
*Father's Name :
*Mother's Name :
* Your Picture :

* Date of Birth :	- - D-M-Y
*Religion :
*Present Address :
Parmanent Address
*City :
*Country :
* Home Phone :
Mobile :
* Joining Date :	- - D-M-Y
*Email :
Passport Number :
Blood Group :	A+ A- B+ B- O+ O- AB+ AB-
*Marital Status :
Have Children :

User Access Information
*User Name :
*Password :	* Maximum 20 Characters.
*Re-Password :
*Dept Name Name :

WINUX SOFT LTD.
House # 16, Road # 36, Gulshan
Phone : 88-02-8858849, 8859072
88-02-9862613, 9883619
Hotline: 88-0173 00 2341
Fax : 88-02-9888992

Copyright © 2005 All Right Reserved Winux Soft Ltd.