Mitro
Earned Wage Access
Application Form
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đ¤ Name
āĻāĻĒāĻ¨āĻžāĻ° āĻ¨āĻžāĻŽ
đ Employee ID
āĻāĻŽāĻĒā§āĻ˛ā§āĻŋ āĻāĻ.āĻĄāĻŋ.
đĸ Company Name
āĻāĻĒāĻ¨āĻžāĻ° āĻāĻ°ā§āĻŽāĻ¸ā§āĻĨāĻ˛/āĻĒā§āĻ°āĻ¤āĻŋāĻˇā§āĻ āĻžāĻ¨ā§āĻ° āĻ¨āĻžāĻŽ
đą Phone
āĻāĻĒāĻ¨āĻžāĻ° āĻĢā§āĻ¨ āĻ¨āĻžāĻŽā§āĻŦāĻžāĻ°
đ§ Email
āĻāĻĒāĻ¨āĻžāĻ° āĻ āĻĢāĻŋāĻļāĻŋā§āĻžāĻ˛ āĻāĻŽā§āĻāĻ˛ āĻāĻĄā§āĻ°ā§āĻ¸
đ¨đģâđŧ Designation
āĻāĻĒāĻ¨āĻžāĻ° āĻāĻ°ā§āĻŽ āĻĒāĻĻāĻŦā§
đ Requested Advance Amount
āĻāĻ¤ āĻāĻžāĻāĻž āĻ āĻā§āĻ°āĻŋāĻŽ āĻāĻ¤ā§āĻ¤ā§āĻ˛āĻ¨ā§āĻ° āĻāĻ¨ā§āĻ¯ āĻ°āĻŋāĻā§ā§ā§āĻ¸ā§āĻ āĻāĻ°āĻā§āĻ¨?
đ Choose your accessed earned wage Repayment Plan
āĻ āĻā§āĻ°āĻŋāĻŽ āĻ¨ā§ā§āĻž āĻāĻĒāĻžāĻ°ā§āĻāĻ¨ āĻĒāĻ°āĻŋāĻļā§āĻ§ā§āĻ° āĻĒāĻ°āĻŋāĻāĻ˛ā§āĻĒāĻ¨āĻž āĻ¨āĻŋāĻ°ā§āĻŦāĻžāĻāĻ¨ āĻāĻ°ā§āĻ¨
Adjust in Full, with Next Months Salary
đĢ How do you want to receive the advance?
āĻāĻĒāĻ¨āĻŋ āĻāĻŋāĻ¸ā§āĻ° āĻŽāĻžāĻ§ā§āĻ¯āĻŽā§ āĻ āĻā§āĻ°āĻŋāĻŽ āĻāĻĒāĻžāĻ°ā§āĻāĻ¨ āĻā§āĻ°āĻšāĻŖ āĻāĻ°āĻ¤ā§ āĻāĻžāĻ¨?
Bank
BKash
Nagad
đĻ Bank Account Details | Write N/A if not applicable.
āĻāĻĒāĻ¨āĻžāĻ° āĻŦā§āĻ¯āĻžāĻāĻ āĻāĻāĻžāĻāĻ¨ā§āĻ āĻ¨āĻžāĻŽā§āĻŦāĻžāĻ°, āĻāĻāĻžāĻāĻ¨ā§āĻ āĻ¨āĻžāĻŽ āĻ āĻŦā§āĻ°āĻžāĻā§āĻ āĻ˛āĻŋāĻā§āĻ¨. āĻ¯āĻĻāĻŋ āĻĒā§āĻ°āĻ¯ā§āĻā§āĻ¯ āĻ¨āĻž āĻšāĻ¯āĻŧ, N/A āĻ˛āĻŋāĻā§āĻ¨āĨ¤
đ˛ Mobile Banking Account Details | Write N/A if not applicable.
āĻāĻĒāĻ¨āĻžāĻ° āĻŽā§āĻŦāĻžāĻāĻ˛ āĻŦā§āĻ¯āĻžāĻāĻāĻŋāĻ āĻāĻāĻžāĻāĻ¨ā§āĻ āĻ¨āĻžāĻŽā§āĻŦāĻžāĻ° āĻ˛āĻŋāĻā§āĻ¨āĨ¤ āĻ¯āĻĻāĻŋ āĻĒā§āĻ°āĻ¯ā§āĻā§āĻ¯ āĻ¨āĻž āĻšāĻ¯āĻŧ, N/A āĻ˛āĻŋāĻā§āĻ¨āĨ¤
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