Club Membership Registration Form

AQSA DEVELOPMENT FORUM(ADF) - ARUGAMBAY ONLINE APPLICATION

To Confirm & Submit please complete all the field.
Name

First NameLast Name
Address:

Permanent Address

Working Address

CityState / Province

Postal / Zip CodeCountry
Phone Number - 1:

Area CodePhone Number
Phone Number - 2 :

Area CodePhone Number
Birth Date:

MonthDayYear
Gender
Marital Status:
NIC or Passport No:
O/L Batch Year
School Index No
A/L Stream
E-mail
Whatsapp No

Area CodePhone Number
Your profession
Your Opinion
Membership Type

1 Month for Non-Worker Rs 1001 Month Membership Rs 2006 Month Membership Rs 10001 Year Membership Rs 2000
Membership Rules
I have read, understood, and accepted the rules for membership.
MEMBERSHIP RULE

1. Membership is available to Arugambay Old Boys Students.

2. You promise NOT to use to conduct any fraudulent or business activity or have more than one Member Account at any time.
Privacy Policy
I have read, understood, and accepted the PRIVACY POLICY for membership.
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
Should be Empty:

AQSA DEVELOPMENT FORUM(ADF) - ARUGAMBAY ONLINE APPLICATION