Join BCS For Membership

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1. Full Name of the Applicant


2. Applicant’s (a) Father’s Name (b) Mother’s Name:


3.(a) Date and Place of Birth :(b) Nationality:


4. Occupation:


5. a. Business Address b. Telephone number & email address:


6. Permanent Address:


7. Academic Degrees:
Degree College/University/Institution Year of Award

8. Field of Specialization:


9. Category of Membership: (Please circle) Life / Ordinary/ Associate member
(Please circle) Life
Ordinary
Associate member


10. Proposed by:


11. Seconded by


12. Declaration : I declare that, as a member of the Bangladesh Chemical Society, I shall abide by all the rules and regulations as laid down in the constitution of the Society and amendments thereof. I also promise to do my best to help implement the objectives of the Society.




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