Life Member Registration

Name

BELTA Membership Type

Mobile

Gender

Area of Working

Affiliation/ Institution

Affiliation/ Institution Level

For Group Registration (Minimum 3 persons required. Each will payTK 2040/. Please write the names of all group members. However, each member must fill out the form separately.)

Profile Photo (Passport Size) 400px by 450px [Less than 500kb]

Are you a New Member?

Please follow the Payment Instruction,

Step-1: Open bKash App
Step-2: Go to Send Money
Step-3: Enter BELTA mobile number 01711544984
Step-4: Enter Registration Fee Amount 3,060 (For individual life membership)
Step-5: Write BELTA LM and Name in the reference
Step-6: Tap on Send
Step-7: Note down the bKash Transaction ID: AKXXXXXXXX
Step-8: Also, take a Screenshot of Payment

Payment Type

bKash Transaction No (AKXXXXXXXX)

Attach Your Screenshot of Payment [Less than 500kb]