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PHAB Membership Form

Membership Forms

PHAB Membership Application Form

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Name
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Type of Membership:

Membership Fees: Life: Tk. 5000/- General: Tk. 500/- Affiliated: Tk. 200/-

(General & Affiliated Membership needs to renew in every 2 years)

Bank Account Name: Public Health Association of Bangladesh, Janata Bank Ltd. Mohakhali
Corporate Branch, AC #0100005433180.

I hereby apply for membership in the Public Health Association of Bangladesh. I agree to be bound by and comply with the policies and rules of PHAB and thus declare that I am informed of and will comply with and be bound by the rules & policies of Public Health Association of Bangladesh.

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