Membership Form

Membership Form , Bogra Club Limited

BOGRA CLUB LIMITED

Reg. No.-RAJC-755

Stadium Road, Near Khander Bazar, Bogra

Info center: Mirpur, Dhaka

Contact: 01914444795

http://bograclubltd.blogspot.com

APPLICATION FORM OF MEMBERSHIP

A.   Applicant’s Profile:

Name of the person:
Father’s Name:
Mother’s Name:
Present Address:
Permanent Address:
Occupation :(if Student, name of Institute & Program)
Date of Birth & Age:
Hobby:
Additional Ability : (if any, Singer, Cricketer, Actor,,,,etc)
National ID/ Passport No.
Email:
Tel:
Mobile:
Fax No. (if any)

B.   Membership Fees:

	Payment Details:
Pay order/ Cheque/ Bank Draft:
Name of the Bank:
Money Receipt No. (Cash)
Date:
Submitted (Applicant):
Date:			Signature:

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C.   For official use only                                   Approved by: Secretary                                                      President /  Executive Committee                               Paid (Bogra Club ltd. office) Date & Seal:                                                                             Stamp