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UNITY

Together we build a stronger community.

PROFESSIONALISM

Committed to excellence in everything we do.

COOPERATION

Working together for mutual growth.

EXCELLENCE

Striving for the highest standards always.

MEMBERSHIP APPLICATION FORM

Govt. Reg. No.: CH-16710/2026

PASSPORT SIZE PHOTO
(Attach Here)

A. PERSONAL INFORMATION

1.Full Name:

5.Nationality:

2.Father's Name:

6.NID / Passport No.:

3.Mother's Name:

7.Blood Group:

4.Date of Birth:

8.Marital Status:

Married Unmarried

B. CONTACT DETAILS

Present Address

Permanent Address

Mobile No.

Email Address

C. PROFESSIONAL INFORMATION

1.Company Name:

2.Designation:

3.Type of Business / Profession:

4.Office Address:

5.Business Experience:Years

D. MEMBERSHIP CATEGORY (✓)

Founder Member Life Member General Member Honorary Member Corporate Member Associate Member Permanent Member

E. DOCUMENT UPLOAD (Please Attach)

1. Trade License
2. Income Tax certificate
3. National ID card/Passport copy
4. Membership Fees Bank pay-Order Copy

BANK DETAILS

Bank Name

Account Name

Account Number

Routing No.

SWIFT Code

Branch

Mobile Banking (Optional)

F. DECLARATION

I hereby declare that all information provided above is true and correct. I agree to abide by the constitution, rules, regulations, and decisions of Chattogram Maritime Club Ltd.

Applicant Signature:

Date :

Upload Signature:

I agree to the declaration above and the Terms & Conditions of CMCL membership.