Membership Application

Join the MCJ Club family. Complete the application form below and our membership committee will be in touch.

Join Us

Apply for Membership

Please fill in your details in the form below. All applications are reviewed by the membership committee. Fields marked with an asterisk (*) are required.

Application Form for Membership

Step 1 of 2 — Applicant information and supporting documents

Type of Membership Applied for *General

1. Applicant Information

Name of Applicant (in full) (English) *

Name of Applicant (Bangla) *

Date of Birth *

Nationality *

Blood Group *

National ID (NID) *

Passport Number (If applicable)

TIN Number (If applicable)

2. Academic Background

University *

Department Name *

Admission Session *

Honors/Masters

3. Contact Information & Addresses

Mobile Number *

Email Address *

Residence Contact Number (If any)

Residence Address *

Permanent Address *

4. Supporting Documents (Optional)

Applicant Photo (2x2 / Passport size)

No file chosen

Spouse Photo (If applicable)

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Nominee Photo

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NID Copies (Applicant, Spouse & Nominee in 1 PDF/Image)

No file chosen

TIN Certificate & University Certificate

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5. Declaration

I hereby declare that all information provided in this application is true, correct, and updated; that I have not been withdrawn from any university for a serious offence; that I have never been involved in criminal or anti-state activities; and that I have not previously applied for and been refused membership of MCJ Club Limited.

If any declaration is found false or incorrect, I accept the Club's decision, including cancellation of membership. I subscribe to the Memorandum and Articles of Association and the Bylaws of MCJ Club Limited and undertake to follow all Club rules and regulations.

Date of Application *