For Office Use Only WW E'S) Young Engineering Society ( YES ) Established in 2016 Photograph SL.No: 2 Copies Receipt No Address (35mm X 35mm) Phone Date E-mail MEMBERSHIP APPLICATIO! mM Li AdviserFellow [JFellow [JMember _[_]Student Member Applied For Applicant's Name Father Name Mother Name Spouse Name Date of Birth Blood Group Mabile E-mail Cimale | Lifemale Gender NID IEB Membership (If Any) F/M / AM. Membership Noz ] Educational Background Degree Passing Year Board/Universi Institution Professional Background ( Ifany) > Membership Catagory (by Age): Adviser Fellow- 46 and above, Fellow-35-45, Member-25 and above, Student Member Below 25 > Membership Fee (by Catagory) : Registration Fee: Tk.500, ID Card Fee: Tk.100, Certificate Fee: Tk.500, Welfare Fee: Tk.500 Yearly Fee: Adviser Fellow- Tk.2000, Fellow- Tk.1500, Member- Tk.1000, Student Member- Tk.500Proposer: Name: IEB No. {if any): YES No: Seconder: Name: IEB No. (if any): YES No: 1. P.P Size Photo (2 Copies). 2. Copy of Certificate: $.S.C, H.S.C, B.Sc Engineering. 3. Copy of NID. ECLARATION: I de hereby declare that the above statements and documents are true & correct. f enrolled, | shall conform ta the constitution, bye-laws, rules and regulations of this organization ind to the Cade of Ethics. Date: Signature: For Office Use Only : As per Application of the applicant Is awarded. in the meeting of the Management / Council held on and the case has: been recorded as under. Membership No: Date of Approval Receipt no: Certificate no: Date of Issue :, Date: Chairman (Membership Committee) General Secretery