Bangladesh Society for Pharmaceutical Professionals
(Fcrrmenly : Society fon Fharnr"lacerxt[caN Chnern[sts)
Reg. No. 5-7885 (1075)/08 ( Registered Under the Societies Registration Act XXI of 1860)
6/1 0 (Ground Floor), Block-A, Lalmatia, Dhaka-12O7 , Bangladesh, Phone : 8143255
e-mail:bspp.info@gmail.com Web:www.bsppbd.org
;. MIIUIIIIIBSIIIP AITPIICATION FOIBilI ,.
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Life / General / Associate Member
Space for
Enclosing
Photograph
The Secretary General
Bangladesh Society for Pharmaceutical Professionals
Dear Sir,
1..................". Would like to be a Life / General / Associate Member of the
Bangladesh Society for Pharmaceutical Professionals. I promise to abide by the rules and regulations of the
Society and will make endeavor to enhance the standard and welfare of profession.
uaTe: Applicant's Signature
2. Father's Name :
4. Details of Educational Qualification : ..................
6. Present working place and Designation : ..................
7. Detailed Experience (Use Additional Sheet, lf necesary)
B. Special contribution to the profession of Pharmaceutics you like to mention (Use additional Sheet, if necessary)
Froposer: Name : (
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address of the Proposer : ............ (
Membership No. of the Proposer :
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10.
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Membership No. of the Proposer :
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Membership Serial No
Approved / Not approved in Executive Council Meeting held on
TotalAmount Received Tk ................ ....... President .................
trinan^a Qanra{anr Qanralanr /.]ana"al
