Membership Registration

First Name *

Last Name *

Email Address *

Phone Number

Membership Type *

Address

Profile Photo

JPG, PNG or GIF. Max 2 MB.

School Name *

NID *

Blood Group *

Which Shaheen *

Alumny Membership Number (ESAD/AESSK/CESA/ESAJ)

Date of Birth *

Passing Year (if SSC from Shaheen) *

Passing Year (if HSC from Shaheen) *

I confirm that the information provided is accurate and agree to the club's membership terms.

One-Time Admission Fee:	—
Recurring Fee:	—

Membership Application