@csrf

4-Digit Customer ID * Used for quick terminal entry & exit lookup

Card Barcode / Card Serial (Optional) Scan RFID or barcode card for instant gate access

Contact Person Name *

Mobile Phone Number *

Email Address (Optional)

NID / National ID (Optional)

Address / Flat No (Optional)

Vehicle Category *

Vehicle Plate Number *

Subscription Start Date *

Duration (Months) *

Monthly Rate (৳) *

Initial Payment Method *

Payment Reference (Optional)

Notes / Remarks (Optional)

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