ASSOCIATION OF BANGLADESHIS WHO STUDIED IN INDIA (ABSI)

Application & Membership Form
1. Applicant's name:
2. Name of the Institute/ Organisation where you studied in India :
3. Duration & Degree Earned :
4. Present Occupation, Address & Telephone No.:
5. Permanent Address :
6. Birth Place & Date :
7. Achievements :
8. Books published (if any) :
9. Prizes/Awards :
10. Areas of interest :
________________________
Applicant's Signature

For Office Use
Registration No.
Has become (a) Life Member or (b) General Member of the ABSI

Joint Secretary             President             Treasurer


Annual Fee : Taka 100/-

Life Member : Taka 500/-