BACSAF Membership Application

Option 1: Cash payment to the Treasurer, BACSAF

Option 2: Bank deposit to:

Account Name:

Bangladesh Association of Commonwealth Scholars and Fellows (BACSAF)

A/C No:

0200013444516

Bank:

Agrani Bank Ltd, Dhaka University Branch

bacsafbd@gmail.com

Title

Name

Contact Address

Mobile No.

E-mail

Current Occupation

Field of Specialization

Membership Type

Life Member (BDT 5,500)

General Member (BDT 1,500)

Year(s) of Commonwealth Award(s)

Type of Award

Scholarship

Fellowship

CSC Ref. No.

Name of Host Institution(s)

Academic Programme(s) Attended

Payment Receipt/Transaction copy

Transaction ID

I hereby declare that I shall abide by all the rules and regulations of the association and shall never do anything subversive to the association.