FORM

MEMBERSHIP APPLICATION FORM Step 1

AHSANIA MISSION SUPPORT FORUM

MEMBERSHIP APPLICATION FORM

Short Profile
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1 : Name of Applicant
2 : Category of Member
3 : Profession
4 : Permanent Address
5.1 : Phone/Mobile No
5.2 : Email
6 : Academic Qualification
6.1 : Date of Birth
7 : I would like to make regular monthly Contribution of Tk    ( Taka  ) by a/c transfer through my Bank Branch ( please sign the Bank instruction form next page )
8 : I agree to become a Member of Ahsnaia Mission Support Forum.

Date

Signature of the applicant

Bank Instruction Form ( Optional ) Step 2

Bank Instruction Form

To
The Manager
Bank
Branch
Date

Sub: Advice for Fund Transfer Through BEFTN.


Dear Sir,
Assalamualiakum
I hereby request you to kindly transfer Tk.    ( Taka  only) from my Account no [A/c No* ] to following Account for payment of monthly membership fee of Ahsania Mission Support Forum.

SL Name of Client Account No Amount in Taka Name of Bank Branch
01 Asania Mission Support Forum

In word :
Thanking you,
Yours faithfully

Name

Date

Signature

Amount Transfer Sheet


Reason Sender A/C No Bank Routing No Bank A/C No A/C Type Amount Receiver Name Receiving Bank Name Receiving Br. Name
Membership Fee
010261189
SB
Ahsania Mission Support Forum
In word :

Signature

Name
Date

why us?

The Life You Can Save

 

Dhaka Ahsania Mission (DAM) is interested to increase peoples’ participation in its overall activities. To achieve our goal we strongly feel that we need people’s participation. In this way we can serve more distressed population through different development projects with the regular financial support.