Institution's Membership Form

Please fill up the form carefully then submit

Centre Name *
Institute Name* Director / Founder / Representatives Name*
Mobile Number* Email (Email Address Must Be Valid)
Website Country
Division* District*
Zip Code Established Date*
Education Type:*   
Bangla Medium    English Medium    Arabic Medium
Is it Govt. Recognized Approved? *
Yes    No   
Total Number of Students * Total Number of Teachers *
How does the Institution Run?*
Personal    Committee    Partnership
Membership Type
Temporary (1500 BDT)    Life Time (3000 BDT)   
Memeber Type
New Member     Old Member    
Please Upload Institute Logo (Image size within 300KB to 5ooKB) Monthly Total Income of Institution
Monthly Total Expense of Institution Please Upload Your Passport Size photo (Image size within 300KB to 5ooKB)
Institute Address* Notes (If any)
My Declaration (Please click the Checkbox)
I (Undersign Person) hereby declare that if this / My educational Institution recognized as a member according to by the laws of Association, I'll abide by all these rules and regulation and take part all activities of the association.
  +        =