The Secretary

BANGLADESH INDENTING AGENTSASSOCIATION

Saiham Sky View Tower, 7th Floor,
45, BijoyNagar, Dhaka-1000.
Tel: 88-02-8391501-3, Fax: 88-02-8391538
E-mail: biaa@dhaka.net
Website: www.biaa.org.bd

APPLICATION FORM FEE: TK.50.00

Required Documents:
(i) Photocopy of uptodate Trade Licence
(ii) Photocopy of uptodate Income Tax Certificate
showing Tax Identification Number (TIN )
(iii) Photocopy of Bank Solvency Certificate
(iv) Photocopy of National ID / Nationality
Certificate / Passport of the applicant
(Note: Above documents to be attested by
the Applicant )
(v) Photocopy of Memorandum & Articles of
Association, in case of Limited Company.

General
APPLICATION FOR MEMBERSHIP
Dear Sir,
Being desirous of becoming a Member of the Bangladesh Indenting Agents Association (BIAA), we submit this
application. I/we agree to abide by BIAAs Memorandum and Articles of Association. In this connection a sum
of Tk 4,000/= as admission fee + Tk. 3,000/= as membership subscription for the current year + Tk. 200/= for
News-letter, Total Tk. 7,200/= (Taka seven thousand two hundred) only is enclosed for membership of
BIAA. Particulars of my /our firms are given hereunder.

01.

Name of the applicants firm :______________________________________________________________

( In block letter )
_________________________________________________________________________________________

02.

Address as shown in Trade Licence / IRC : ______________________________________________________

________________________________________________________________________________________

03.

Mailing address : _________________________________________________________________________

_________________________________________________________________________________________
_________________________________________________________________________________________

04.

Telephone No(s) :
Fax

E-mail

Website

05. Name of the Proprietor/ Managing Director/Chairman/ManagingPartner/CEO :____________________________

________________________________________________________________________
06. Name of the Bank (With full address ) : __________________________________________________________
07. CCI&Es Indenting Registration Certificate No. (IRC), if any : ________________________________________
08. Items of Indenting : __________________________________________________________________________
____________________________________________________________________________________________
09. TIN Number: ____________________________________

PTO

Name(s), designation and signature of the representative(s) who will represent the firm:

1.

Name :________________________________________________________________________

2.

Name : ________________________________________________________________________

Specimen signature
Attested by the Applicant

I/We, declare that the particulars given above are true to the best of my / our knowledge and belief.
Yours faithfully,

Signature of the Applicant

(With rubber stamp of the Firm)
____________________________________Official use only______________________________________________
Proposed by :___________________________________________________________________________
Address

: ________________________________________________
________________________________________________
_________________________________________________

Signature of the Proposer

Rubber stamp of the BIAA member-firm:

Seconded by :___________________________________________________________________________
Address

: ________________________________________________
________________________________________________
_________________________________________________

Signature of the Proposer

Rubber stamp of the BIAA member-firm:

Date : ___________________