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BANGLADESH COMPUTER SAMITY
The ICT Industry Association of Bangladesh
12 Floor, Sonartori Tower, Plot # 12, Biponon C/A, Sonargaon Road, Dhaka – 1000, Bangladesh Tel: +880 2 9670955/56, Fax: +880 2 9670955/56 Ext. 108 Email: firstname.lastname@example.org, email@example.com, URL: www.bcs.org.bd
MEMBERSHIP APPLICATION FORM
Application Date: ______/______/_______ Organization/Company Name Trade License No. TIN No. of the Proprietor/ Organization/ Company
Insight Information Technology Ltd.
Room #1217, Level # 12, Multiplan Center, 69-71 Mirpur Road, Registered / Business Address Dhaka-1205 Custom Software Development, ERP Development
Nature of Business
Name & Official Contacts of the Person Representing the Organization/ Company (Proprietor/Partner/Director) Name as in Business Document Position in the Organization/ Company Tel Fax Blood Group Alternate Official Contact Contact Person's Name Position in the Organization/ Company Tel Email
Mahbub Alam Tagar Managing Director 88-02-9615270 88-02-9615271
Website E-mail Mobile
Nazibullah Khan CEO 88-02-9615270 firstname.lastname@example.org
PO/DD No. : Bank Name: Date: Mobile
I do hereby declare that all the papers, document & information in the Application Form submitted are true and correct. I also hereby agree unconditionally adhering all the rules & regulations set by Bangladesh Computer Samity (BCS).
Bangladesh Computer Samity
Membership Application Form (page 1 of 2)
108 Email: email@example.com. Sonartori Tower.evsjv‡`k Kw¤úDUvi mwgwZ BANGLADESH COMPUTER SAMITY The ICT Industry Association of Bangladesh 12 Floor. Biponon C/A. Bangladesh Tel: +880 2 9670955/56. samity@agni. Plot # 12.bd.bd Representative's Signature (Please sign above this line) For BCS Office Use Only Application Receiving Date: ______/______/_______ Company Seal Money Receipt No.org. URL: www. Dhaka – 1000. __________ th Bangladesh Computer Samity Membership Application Form (page 2 of 2) . Sonargaon Road.org.bcs. Fax: +880 2 9670955/56 Ext.
000. if any. Important notes to follow: 1. Dhaka – 1000. Two copies recent colored passport size photo & one business card of the Representative. g.org.00]. 6. in which the business type should be mentioned as computer and/or ICT and the address in the membership application form should be same as the address in the trade license or the address in Trade License should be authenticated. 2. Attested Photocopy of the Current Trade License.org. URL: www. h.com. 2.evsjv‡`k Kw¤úDUvi mwgwZ BANGLADESH COMPUTER SAMITY The ICT Industry Association of Bangladesh 12 Floor. Attested Photocopy of TIN Certificate in case new tax payer. or current income tax return in case of existing tax payer. in case of incorporated Organization/Company. Current Bank Solvency Certificate in original in the name of Proprietor in case of proprietorship company. Bangladesh Computer Samity Membership Application Form (page 3 of 2) . b. 5.000. samity@agni. Registered Address of the Organization/Company must be authenticated and BCS Authority preserves the right to investigate for such authentication. or Deed of Partnership in case of Partnership Company. Fax: +880 2 9670955/56 Ext. Seal & Date Seconder's Consent by any active Member of BCS Seconder's Name (as in BCS Member List) Name of the Organization/ Company MID Signature.bd Proposer's Consent by any active Member of BCS Proposer's Name (as in BCS Member List) Name of the Organization/ Company th MID Signature. Biponon C/A. Seal & Date The following papers. Attested Photocopy of Memorandum & Articles of Association. Attested Photocopy of VAT Registration Certificate. 4.bcs.00 + Yearly Subscription Tk. d. Company profile describing capability and experience of the Organization/Company. c. or in the name of company in case of partnership or limited company. or that of the company in case of partnership or limited company. BCS Authority preserves the right to ask any document (including original) of the Applicant other than that mentioned hereinabove.00 (Taka Six thousand only) [Membership Registration Fee Tk. Plot # 12. 3. Sonartori Tower.000. Bangladesh Tel: +880 2 9670955/56. document & information should be authenticated & submitted along with the Membership Application Form: a. f. or legal documentary evidence related to income tax payment issues of Proprietor in case of proprietorship company. 108 Email: secretariat@bcs. in which the business type should be mentioned as computer and/or ICT. Organization/Company engaged only in computer and/or ICT business is eligible to be Member of BCS.bd. 4. BCS Membership procedure must comply with the DTO Rules and Articles of BCS. Sonargaon Road. e. BCS Authority preserves the right to visit the registered and/or business address of the Applicant and membership will be approved only at the satisfaction of BCS Authority upon such visit. PO/DD in favor of Bangladesh Computer Samity amounting Tk.
bd. Fax: +880 2 9670955/56 Ext. 10.com. Organization/Company from Khulna Division and Sylhet Division should submit Membership Application through respective BCS Branch Committee in Khulna & Sylhet. Sonartori Tower. 9.evsjv‡`k Kw¤úDUvi mwgwZ BANGLADESH COMPUTER SAMITY The ICT Industry Association of Bangladesh 12 Floor. Nothing confirms BCS Membership other than authentication & verification is completed. samity@agni. BCS Executive Committee is the sole authority to approve or disapprove any Membership Application as per Clause 7 of BCS Memorandum & Articles of Association. 7.bcs.org. Bangladesh Tel: +880 2 9670955/56. 8.bd 6. Biponon C/A. th Bangladesh Computer Samity Membership Application Form (page 4 of 2) . No incomplete Application is acceptable. Dhaka – 1000. BCS Authority at their necessity could call the Representative of the Organization/Company for interview. URL: www.org. Sonargaon Road. Plot # 12. 108 Email: secretariat@bcs.