Membership Form - Bangladesh Society For Total Quality Management

1. Member *
Life MemberCorporateForeignStudent
Photo *Upload Passport Size Photo (413x531 pixels)
2. Name of Applicant / Corporate Body *(In capital letters)
3. Name in Bangla Download Avro (https://www.omicronlab.com/avro-keyboard.html)
4. Name of employer (other than corporate body) :
Employer’s address:
5. Name of educational institution (for student) :
6. Name of nominated key persons with designation (For corporate Member) : *
7. Father’s Name: (Nominated key person in case of Corporate members)
Mother’s Name
8. Date of Birth: *(Date of incorporation in case of organization)
9. Details of Educational Qualification (For individual member): *
10. Profession:
Other
11. Address *
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Mobile/ Phone *
Email *
Business / Office with designation
(Name of the organization: Designation: Address: Phone: e-mail:)
12. Detailed experience / areas of business involved in:
13. Membership of other organizations (if any): Name of the organizations
14. Special contribution to BSTQM, if you like to mention

Name as in Passport:
Passport No:
Date and place of issue:
Expiry Date
Address as in passport (Present & Permanent)
National ID No:
Names of children with mob:
Name of Spouse with mob:
Wedding Date
Blood Group
Alternate e-mail
Alternate Mobile
Confirmation: I/We would like to be a member of BSTQM. I/we agree to abide by the Constitution, Rules & Regulations, Policy and EC Decision of BSTQM and will make endeavor for the “Continual Improvement” of BSTQM. I/We declare that the information provided above is correct.
16. Proposer: Name : BSTQM Membership No: Address of the Proposer
Sign *Upload your sign (300*80px)
Membership Fees: 1) Life Membership: Tk. 10,000.00 2) Corporate Membership: Tk. 100,000.00 3) Foreign Member: USD 200 4) Membership Certificate: Tk. 100.00 5) Student Membership: Tk. 1000.00