German Club Dhaka

Please fill in requested information / tick in boxes and submit the admission form to the Club together with copies of (a) passport, (b) visa page, (c) last entry stamp, (d) valid residention permit and (e) two actual passport pictures for all persons applying for membership.

APPLICANT'S DATA

Surname*

Given Name*

Middle Name*

Date of Birth*

Nationality*

Passport No*

Quota offered

Current Address*

Cell phone*

Email*

Permanent Address

Phone No

Email 2

Current Employer*

Position

Employer's Address

Phone office

Email office

Passbook Holder? *

Yes

Diplomatic Passbook Holder?

Yes

EPZ Passbook Holder?

Yes

Applicant Image*

Spouse Image

Applicant Signature

Spouse Signature

Sponsor Signature

Upload Documents

FOR APPLICATION OF FAMILY MEMBERSHIP

Spouse Surname

Given Name

Middle Name

Date of Birth

Nationality

Passport No.

Current Employer

Position

Passbook Holder?

Yes

Diplomatic Passbook Holder?

Yes

EPZ Passbook Holder?

Yes

CHILDREN IF MEMBERSHIP PRIVILEGES ARE REQUESTED (UNDER 18)

Name

Date of Birth

Upload Photo

Name

Date of Birth

Upload Photo

Name

Date of Birth

Upload Photo

Name

Date of Birth

Upload Photo

TYPE OF MEMBERSHIP REQUESTED

Membership requested from

For how long?

Long-term Single Membership Admission fee BDT 30,000 | Monthly fee BDT 9,500

Temporary Single Membership (max three months) Weekly fee BDT 3,000 | Monthly fee BDT 10,000

Diplomatic Single Membership No Admission Fee | Monthly fee BDT 5,000

Long-term Family Membership Admission fee BDT 50,000 | Monthly fee BDT 16,000

Temporary Family Membership (max three months) Weekly fee BDT 5,000 | Monthly fee BDT 18,000

Diplomatic Family Membership No Admission Fee | Monthly fee BDT 8,000

Student/Intern Membership for six (6) months (fixed) I No admission fee I Membership fee BDT 18,000 payable in advance (6 x 3,000 BDT)

REFERENCE I CLUB SPONSOR

Have you been member of GCD before?

Yes

GC ID No.

When/from - to?

Name of Club Sponsor

GC ID No. Sponsor

Phone Sponsor

Email Sponsor

Application For Membership

APPLICANT'S DATA

FOR APPLICATION OF FAMILY MEMBERSHIP

CHILDREN IF MEMBERSHIP PRIVILEGES ARE REQUESTED (UNDER 18)

TYPE OF MEMBERSHIP REQUESTED

REFERENCE I CLUB SPONSOR