Apply for Membership - Broadcast Journalist Center (BJC)

Name of Applicant (As NID) *

Nick Name / Known As *

Name in Bangla *

Father's Name

Mother's Name

Date of Birth

Place of Birth

Gender

Present Address

Permanent Address

NID No

Mobile *

Email *

Blood Group

Marital Status *

Facebook ID

Spouse Name

Number of Children

Password

Organization *

Organization Address

Present Designation

Date of Joining

Profile Image

NID Front

NID Back

Highest Degree Certificate

Highest Degree

⚠ After approval of the application, the membership application fee of 650 Taka(non-refundable) must be paid through the account payment option.

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