Membership Application Form

( The Application Form is also available for Download in MSWord Format )

Sl. No. ........................

Personal Information :

Name        : ....................................................................

Nationality : .........................................

Membership Status Applied For :           Full Member / Guest Member

                                                         ( Tick the appropriate one )

Residency Status in Qatar :                   Family / Single

                                                         ( Tick the appropriate one )

Name of Wife : ........................................

Date of Marriage : ....................................

Details of Children :

1.     Name : .............................................................................

Date of Birth : ................................................

2.     Name : .............................................................................

Date of Birth : ................................................

3.     Name : .............................................................................

Date of Birth : ................................................

Contact Details : 

Local Address 

City : ..........................................................

State : .........................................................

Company Name : ..........................................

Tel No. (Off)  ............................... (Res) ........................................

Fax .................................... Mobile  ...............................................

Email : .......................................................................

Permanent Address

City : .........................................

Country : ...................................

Tel. No. .....................................

Declaration :

I , the undersigned , agree to abide by the Rules & Regulations of Bangiya Parishad , Doha Qatar.

........................................

Signature of Applicant                                                             Date ...........................................