Working Together to Turn Uncertainty into Opportunity

ITC CUSTOMER REQUIREMENT FORM

Customer Details

Customer Details
Customer Name/Company *
Business Type
Representative *
Representative Designation
Address
Tel *
Fax
Rep Tel
Rep Email *

Service Details

Service Details
Required Capacity Rate (Mbps)
A-end Address
A-end Address
Circuit Protection Options Protected Partially Protected Unprotected
Service Period (mo) Year Month
Target RFS Date
Please mention any additional requirements or dependencies
 
 
 

CONNECT WITH US

House No. Ga-30/G,

Pragati Sarani, Shahjadpur,
Gulshan, Dhaka – 1212,
Bangladesh.

Phone: +880 2 8899657 - 9
Fax: +880 2 8899654
E-mail: info@novocom-bd.com