Registration Form
Greater Khulna Community Japan (GKCJ)
 
 
(as in Passport)
English
Bangla
Japanese
 Male
 Female
 Year
 Month
 Day
 Single
 Married
 Others
English
Bangla
Japanese
Occupation
Name of Organization
Position
 Year
 Month
 Day
 Division
 Dristrict
 Upazila
 Union
Address
 Division
 Dristrict
 Upazila
 Union
 Student
 Business
 Job
 Permanent Resident
 Others

APPLICANT'S DECLARATION :
I, certify that all the information contained in this form and any accompanying documentation is correct. I will be bound by the Greater Khulna Community Japan’s Charter, By-Laws and Codes of Professional and Member Conduct and will further the objectives of the Greater Khulna Community, Japan as far as shall be within my ability and judgment during such time as I remain a member. I accept the Greater Khulna Community, Japan reserves the right to expel me if any of the information in this form and any accompanying documentation is found to be falsified.

  <== I have read all the terms & condition of membership. I agree with this conditions.
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