Membership Form - Dr. Muhammad Shahidullah Hall Alumni Association

Name (English):

Father's Name:

Department:

Admission Session:

Profession:

Designation:

Office Address:

Present Address:

Permanent Address:

NID No:

Cell No:

Email:

Blood Group:

Membership Fee: BDT 5000
Please send fee via bKash to: 01812008639 or 01912179082

bKash Transaction ID / Ref:

Passport Photo:

Document (Hon's/Masters):

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