Bangladesh Association of Biotechnology (BABT)

Biotechnology Department, Bangladesh Agricultural University, Mymensingh, Bangladesh

Tel: 88091 55695-7 X 2650; Fax: 88091-55810

MEMBERSHIP APPLICATION

Name of father/husband :

Address of correspondence :

Qualification (Last degree) :

Present involvement with : biotechnological work

Telephone : Mobile : Fax : Net :

Category of membership :

Local a) General Member (Annual) Tk. 200 b) Associate Member Tk. 500 c) Institutional member Tk. 1000 d) Life member Tk. 1500

Foreign SAARC countries Others

I declare to abide by the rules and regulations and would not do anything prejudicial to the interest of the Association.

(Signature of the Applicant) Date:

Official
Membership # LM ............................	Money Receipt Tk. ......................	Signature .............................................
GM ..........................	Receipt # .....................................	Date.....................................................

Payment in cash demand draft/pay order/money order to be issued in favour of General Secretary, BABT.