New Member Registration 2022

Member Registration

ESAD Member registration is closed at 12pm (21st December)

After Successful Payment You will receive ESAD ID in your email.

Please allow sometime to process that. You will be able to register for Reunion with that ESAD ID.

Full Name *

Gender *

Date of Birth (MM/DD/YY) *

Blood Group *

Email Address *

Please make sure above email is never used in ESAD membership. If used, your membership registration will not work properly.

Occupation *

If you are still a student put your current Institution name & Department below:

Institution Name (For Student Only)

Department (For Student Only)

Non students please put your current occupation details below:

Present Occupation *

Business/Workplace Name *

Work Address

Address *

Address Line 2 *

City *

Country *

Mobile Phone Number *

Work Phone Number

Home Phone Number

Present Address

Address *

Address Line 2 *

City *

Country *

Write one if one of your board exams is from Shaheen Dhaka. Write both only if both your board exams are from Shaheen Dhaka. Leave Both Blank if NONE of your Board Exams are from Shaheen Dhaka.

Did you appear for any Board Exam from Shaheen? *

Yes

SSC Passing Year *

HSC Passing Year *

Group *

House I belonged to *

Time spent in School *

From Year *

To *

I hereby declare that the information provided by me above is true and correct to the best of my knowledge. I hereby sign this registration form to become a member of the Ex-Shaheens Association Dhaka (ESAD).

I Agree With The Terms And Condition, Refund Policy and Privacy Policy