Apply Online

Apply Information:

Name of Applicant :

Nick name (known as in campus) :

Membership Category Applied for :

LMGM
(Life Member) (General Member)

Please upload jpg or png 10mb size file :

Date of Birth :

NID No :

Blood Group :

Marriage Date :

Marital Status :

Religion :

Any children with special need (is yes)?

FM

Number of children :

Father's Name :

Mother's Name :

Permanent Address :

Present & contact Address :

Mobile No :

Email ID :

Name :

Relationship :

Contact Mobile Number :

Work type :

Your Current Position :

Name & Address of office :

Year/Session :

Department :

Graduation Year :

JU Batch :

Residential Hall :

Any Involvement in Cultural/Sports/other Activities ?

YesNo

Which type :

Are you registered Graduate ?

YesNo

If Yes, Reg. Number :

Are you a member of any other Club/Association in Bangladesh ?

YesNo

If Yes, Please mention the name and address below :

Do you have any special cultural skills ?

YesNo

If Yes, Please mention below(e.g Vocal/Singer,Drama,Instrument-Flute,Giter,Tabla etc) :

Graduation Certificate scanned copy :

DECLARATION:

I do here by declare that the information above provided by me are fully true.If found false,the club authority reserves the right to take appropriate action (including cancellation of my membership) at anytime. I will fully abide by all the rules,regulations/policies,code of conduct of the Club. I was never involved with any type of anti-state activity and will never be.If found, my membership can be cancelled/terminated any time

GENERAL INSTRUCTIONS FOR MEMBERSHIP APPLICATION

1. The ENTRY FEE is Tk 200.00(two hundred) only for all types of membership.
2. Fees for Live Membership is Tk 5000.00(Taka five thousand) until changed by the authority.
3. Fees for General Membership(1 year) is Tk 500.00(five hundred) until changed by the authority.
4. Monthly Fees for life member is Tk 500.00(five hundred) until changed changed by the authority.
5. Monthly Fees for General member is Tk 300.00(three hundred) until changed changed by the authority.
6. Life Membership Fees For JU Teachers(JU Graduates) is Tk 5200(including Entry Fees).No monthly fee
is applicable for JU Teachers.
7. Along with this Application Form,please attach copy of your Graduation (Hons.)Certificate,a Copy of your National ID Card and 02 copies of recent PP size Photograph.