Bagha Union Development Organisation UK

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APPLICANT DETAILS	GENERAL MEMBER ASSOCIATE MEMBER
Applicant Full Name:
Father’s Name Husband’s Name
Gender:	Male FeMale
Year Of Birth:		Age:
Address in the United Kingdom			Home Telephone Number:

Post Code:		Mobile Number:
Email Address:
Address in Bangladesh
Name of the Upazila:

Name of Union/ Maniciplaity:		Name of the Village:	Para / Moholla (optional):
Bagha
Name of the Proposer:		Proposer Membership No:
FEE & PAYMENT METHOD:		Standard Fee £100.00 Non-Refundable
Payment Methods:	Cash Card Bank Transfer
Reference No:
Payment Details:		Accepted:

BANK DETAILS: For Bank Transfer	Account Name: Bagha Union Development Organisation UK, Sort Code: 30-99-50 Account Number: 62159962
CASH PAYMENT:	Cash PAYMENT, Please HANDED to THE TREASURER
Declaration:	I do solemnly declare that I will support the aims and objectives of Bagha Union Development Organisation UK and consciously agree to abide by the rules and regulations of this organisation laid down in the constitution.
Applicant Signature:		Date:

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