Member Registration

Application for Membership Form

(Form Fee: TK. 1000/=)

Govt. Reg No: CH-10511/13
Sanmar Spring Valley, (2463/A/52), 1st floor)
Zakir Hossain Road, Khulshi, Chittagong.
Tell: 031-657221, 2550131

To
The Founder President/ Founder Vice President
Chittagong Khulshi Club Ltd.
Chattogram.

Submission For Chittagong Khulshi Club Ltd. Membership Form


Details of Other Club Membership (IF Any):

Declaration I hereby declare that I have neither committed any illegal/ Criminal act Judiciary Law of Bangladesh, nor been punished by Bangladesh Court for any offence. I further declare that the above statement/ particulars are correct therefore, request you to become a donor, life, service, permanent, temporary, corporate, honorary, diplomat and Foreign National Member as per constitution of the Chittagong Khulshi Club Ltd.


The constitution of club do hereby declare you as the Donor, Life, Service, Permanent, Temporary, Corporate, Honorary, Diplomat and Foreign National Member of the Chittagong Khulshi Club Ltd. and your Membership No. is:

 

Thanking You

___________________________________
Founder President
Chittagong Khulshi Club Ltd.

___________________________________
Founder Vice President
Chittagong Khulshi Club Ltd.

_____________________________________________________________________

 

 

 

Details of Passport

 

Family Details

 

Details of Childrens: (Must be Added with Birth Certificate copy)

 

 

 

Proposed by (Any Member of Chittagong Khulshi Club Ltd.) :