Japan-Bangladesh Chamber of Commerce and Industry
Flat # 3-B, House # 30, (3rd Floor), Road # 18, Block # A, Banani, Dhaka-1213. Tel/Fax: +880-2-55034006
E-mail: info@jbccibd.com, jbcci@citech-bd.com, Website: www.jbccibd.com

APPLICATION FORM FOR GENERAL MEMBERSHIPThe Secretary General,
JBCCI
I/We request you to kindly enroll our firm/company/organization as a General Member of your esteemed Chamber.
For your record and reference, the particulars of our organization are given overleaf. A Bank Draft/Pay Order/Cheque
No: …………………….. dated ………………… for Tk. …………………. in favour of ‘Japan-Bangladesh Chamberof Commerce and Industry’ is enclosed towards Entry Fee and Annual Membership Fee for the current year.
I / We undertake to abide by the rules and regulations of the Chamber and to promote its objectives.
Yours faithfully,
Signature & Seal of the Applicant:Name & Designation:
Address : ..…………………………………………………………………
……………………………………………………………………………..
Proposed by:

Signature & Seal:

Name & Designation:
Address : ..…………………………………………………………………
……………………………………………………………………..…..…..
Second by:

Signature & Seal:

Name & Designation:
Address : ……………..……………………………………………………
…………………………………………………………………….……….
FOR OFFICIAL USE
Date of Receipt of Application:
Date of Approval of Membership:
Date of Confirmation of Membership :TREASURER

SECRETARY GENERAL

Payment by Bank Draft/ Pay order/ Cheque
No:…………………………………………
dated:………………..…for Tk………….
Money Receipt No… …..dated …………..

PRESIDENT

PARTICULARS OF THE APPLICANT FOR GENERAL MEMBERSHIP OF JBCCI
1. Name of the Firm (in block letters):
2. Address:

3. Nature of Business / Activities:
4. Status of the Firm:a. If Proprietorship, Name of the Proprietor:
b. If Partnership, Name of the Partners
Partnership Deed/Certificate of Registrationc. If limited Company/Organization :Copy of the Memorandum and Articles of Association
duly signed by all the Subscribers
Certificate of Incorporation: Photocopy duly signed by all thepartners to be attached: To be attached: Photocopy to be attached*5. Trades License: Photocopy to be attached*6. TIN: Photocopy to be attached*7. VAT Registration: Photocopy to be attached

8. Bankers/Bank solvency Certificate (original copy): Current Certificate to be attached

9. Name & Nationality of the nominatedRepresentative to the Chamber along with twocopies of his/her passport-size photograph:

10. Name & Address of the major Business Partners in Japan / Bangladesh :(Documentary evidence of the business relationship has to be submitted)a)b)c)
I do hereby solemnly affirm that I shall offer my services towards promoting mutual cooperation and help amongst themembers of ‘Japan-Bangladesh Chamber of Commerce and Industry’.
I hereby agree and affirm unconditionally that the Board of Directors of ‘Japan Bangladesh Chamber of Commerceand Industry’ shall have the full right to cancel our membership with the Chamber, if in their judgment our activities
are found detrimental to the interest of the Chamber.

Signature and Seal of the Applicant* Not applicable for all Japanese organization in Bangladesh.
Note: If the applicant is a liaison office, the permission of the Board of Investment and Bangladesh Bank are to be attached