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99 SPORTS CLUB LTD.

Application Form For Membership Of The Club

Membership Type *

Personal Information

Name *

Profession *

Father's Name *

Mother's Name *

+ Upload Photo *

JPG/PNG - PP Size

NID Number *

Passport Number (If Any)

Date Of Birth *

Blood Group *

SSC Board *

SSC Roll No *

SSC Registration Number *

Mobile Number *

Email *

Present Address

City Corporation Upazila

Divisions *

District *

Ward *

Permanent Address

City Corporation Upazila

Divisions *

District *

Ward *

If Member Of Other Club? (If Any)

+

Upload Signature *

Scanned Copy Of Signature

99 SPORTS CLUB LTD.

Payment for Registration of a Donor Member of the Club

Payment Option

Manual (Bank / MFS) Online