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Membership Form (HACS)

This document is a membership form for an organization that includes fields for an applicant to provide personal information such as name, address, contact details, and enclosed documents like a photo and ID copies. It specifies the membership categories of General and Committee and fees. The applicant declares that the information is true and correct and they will comply with rules. The secretary signs upon receiving the completed form.

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32 views

Membership Form (HACS)

This document is a membership form for an organization that includes fields for an applicant to provide personal information such as name, address, contact details, and enclosed documents like a photo and ID copies. It specifies the membership categories of General and Committee and fees. The applicant declares that the information is true and correct and they will comply with rules. The secretary signs upon receiving the completed form.

Uploaded by

Time
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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HACS - CTG

Date :
Recent
MEMBERSHIP FORM
PHOTOGRAPH
Membership Category: General Committee (P.P size)

PERSONAL INFORMATION

1. Name :

2. Father’s Name :

3. Mother’s Name :

4. Marital Status :

5. Permanent Address :

6. Present Address :

7. Mobile No :

8. E-Mail :

9. Blood Group :

Present Information of Member (If applicable):

1. Name of the Organization


:
…………………………………………………………………

2. Designation : …………………………………………………………………

3. Contact No (Office) : …………………………………………………………………


Endosures / Attached
1. One passport size photograph of applicant
2. One Photocopy of Applicant NID/ Birth Certificate.
3. One Photocopy of Applicant Job Card/ ID card (If any).
4. Money Receipt.

DECLARATION (By the Applicant):


I declare that all information provided above, are true and correct and that, I shall comply with
all the rules and by-laws of the Society, currently in force. Any change in my current status as
an applicant, will be notified to you, within one week from the date of change of status.

Applicant Signature

Money Receipt No :
Fee For General Member:
Registration No : Free (For First 06 Months)
After 06 Month: Tk. 150/Per Month

Fee For Committee Member:


Tk. 150/Per Month

Membership Form:
For General & Committee Member: Tk. 100
Signature of Secretary

Form Received Date:

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