BOGRA CLUB LIMITED
Reg. No.-RAJC-755
Stadium Road, Near Khander Bazar, Bogra
Info center: Mirpur, Dhaka
Contact: 01914444795
APPLICATION FORM OF MEMBERSHIP
A. Applicant’s Profile:
Name of the person:
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Father’s Name:
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Mother’s Name:
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Present Address:
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Permanent Address:
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Occupation :(if Student, name of
Institute & Program)
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Date of Birth & Age:
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Hobby:
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Additional Ability : (if any, Singer,
Cricketer, Actor,,,,etc)
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National ID/ Passport No.
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Email:
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Tel:
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Mobile:
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Fax No. (if any)
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B. Membership Fees:
Payment Details:
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Pay order/ Cheque/ Bank Draft:
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Name of the Bank:
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Money Receipt No. (Cash)
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Date:
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Submitted (Applicant):
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Date:
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Signature:
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C. For official use only Approved by:
Secretary
President / Executive
Committee
Paid (Bogra Club ltd. office)
Date & Seal:
Stamp
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