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সদস‍্যের জন্য আবেদন

মেম্বারশিপ তথ্য

আবেদন ফি *

সদস্য প্রকৃতি *

মাসিক চাঁদা *

পেশা *

ব্যক্তিগত তথ্য

নাম (বাংলায়) *

পিতার নাম (বাংলায়) *

মোবাইল নম্বর *

জন্মতারিখ *

ইমেইল (ঐচ্ছিক)

রক্তের গ্রুপ *

সোশ্যাল মিডিয়া সংক্রান্ত তথ্য

ফেসবুক আইডির লিঙ্ক

আমি ফেসবুক ব্যবহার করি না

হোয়াটসঅ্যাপ নম্বর *

টেলিগ্রাম নম্বর (ঐচ্ছিক)

ঠিকানা

ইউনিয়ন *

গ্রাম *

শিক্ষাগত যোগ্যতা

পড়াশুনার মাধ্যম *

শিক্ষার স্তর *

আমি "আল-ইসলাহ্ ইসলামী সংগঠন" এর সকল নিয়ম কানুন অবগত হয়ে সদস্য পদ প্রাপ্তির জন্য আবেদন করছি। আমি অঙ্গীকার করছি যে, সংগঠনের সকল নিয়ম কানুন মানিয়া চলিব। যদি সংগঠনের শৃঙ্খলা পরিপন্থি কোন কাজ করি তাহলে সংগঠনের আইন অনুযায়ী যে কোন শাস্তি মেনে নিতে বাধ্য থাকিব।

* চিহ্নিত ঘরগুলো পূরণ করা বাধ্যতামূলক, অন্যান্যগুলো ঐচ্ছিক।

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