Membership Form

Full Name *

Qualification *

Designation *

Present Address *

Permanent Address *

Blood Group*

National ID*

Phone Number *

Payment Method * Select Option Bkash Nagad Rocket

Total TK*

Transition Number*

Picture *

I wish to be a member of the Chandina Jubo Kallayan Somiti. I am aware of the rules, the laws, and by-laws of the Samiti and will abide by them.

Submit