Bangladesh Minority Lawyers' Association (BMLA)

Membership Form

1. Name (in block letters):
2. Father’s/ Husband’s Name:
3. Date of Birth :
4. Date of enrollment as an Advocate / Attorney / called to the Bar
4.A. Date of enrollment (only for Bangladeshi)
	(a) Bar Council
	(b) High Court Division
	(c) Appellate Division
4.B. For law Student
	(a) Name of the Institution
	(b) Contact Address of the Institution
	(c) Date of Admission
5. Present Address
6. Permanent Address
7. Contact Number. Telephone: Cell:

I do hereby confirm that as a member of the Association I will take all the responsibility of promoting the idea of BMLA.

Approved

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Signature of the Applicant

Approved

______________________
Chairman Secretary General