New Membership Apply | Baridhara Society

1. Select Membership Category

Life Member

General Member

Senior Member

Associate Member

Donor Member

2. Applicable Fees

3. Personal Information

Full Name *

Father's Name *

Mother's Name *

Spouse's Name

4. Address Details

Mailing Address Type *

Address Inside Baridhara *

Road Number *

House Number *

Flat Number *

Full Address Inside Baridhara *

Address Outside Baridhara (Optional)

Road Number

House Number

Flat Number

Full Address Outside Baridhara

5. Personal Statistics

Nationality*

Occupation*

Blood Group*

Marital Status*

Date of Birth*

6. Contact Information

Telephone (Res)

Mobile Number *

Email Address

Workplace Phone

7. Children's Information

Child's Name

Gender

Age

Child 1

NAME

GENDER

AGE

Child 2

NAME

GENDER

AGE

8. Emergency Contact

Contact Person Name*

Relation*

Emergency Mobile*

9. Introduced By

Introduced By *

Introducer Phone No. *

Introducer Membership No.*

Known For*

I have known the applicant for ____ years.

10. Valid Documents to be Enclosed

Select a membership category above to upload required documents.

Eligibility: Applicant must be 21 years of age.

* Only Life, General, and Senior Members have voting rights.

I declare that the information provided above is true and correct.

Payment Note

After successful verification of your documnets, payment instructions will be sent to your registered mobile number via SMS. Your membership will be activated after the required payment has been completed and confirmed.

Membership Application

2. Applicable Fees

Life Membership

General Membership

Senior Membership

Associate Membership

Donor Membership

3. Personal Information

4. Address Details

Address Inside Baridhara *

Address Outside Baridhara (Optional)

5. Personal Statistics

6. Contact Information

7. Children's Information

8. Emergency Contact

9. Introduced By

10. Valid Documents to be Enclosed

Membership Application

2. Applicable Fees

Life Membership

General Membership

Senior Membership

Associate Membership

Donor Membership

3. Personal Information

4. Address Details

Address Inside Baridhara *

Address Outside Baridhara (Optional)

5. Personal Statistics

6. Contact Information

7. Children's Information

8. Emergency Contact

9. Introduced By

10. Valid Documents to be Enclosed

Success!