Gemssa | গোপালগঞ্জ এক্স - মডেল স্কুল স্টুডেন্টস এসোসিয়েশন

Membership Form

Type of Membership*

Name*

Father Name *

Mother Name *

Present Address *

Permanent Address *

Spouse Name *

Date of Birth *

Email *

Mobile *

Primary Acadimic Year *

High Acadimic Year *

Password *

Confirm Password *

Blood Group *

Photo*

maximum file size 2MB(jpg,jpeg,png,pdf)

NID*

maximum file size 2MB(jpg,jpeg,png,pdf)

SSC Certificate*

maximum file size 2MB(jpg,jpeg,png,pdf),

I have read and agree to the website Terms & Condition , Privacy Policy & Refund Policy.*