Register – Barishal CIty & Sadar Socity, USA

Registration

Membership Application

Fill out the form below to apply for association membership.

Full Name *

Email Address *

Account Password *

USA Address

USA Telephone

Bangladesh Address

Bangladesh Telephone

Applicant Picture (Image)

Applicant Signature (Image)

I, the undersigned do hereby agreed to abide by the laws & regulations of the Barisal City & Sadar Soceity USA and state that the above information given in the membership application is correct and true to the best of my knowledge.

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