Bma Membership Form

Burmese Muslim Association Membership Application Form ID No. ......................... (For BMA assignment) Name :................................................................... Date of Birth :........................................................ Place of Birth :....................................................... Male/Female :........................................................ Address :................................................................. …............................................................................ Telephone: (Home) :............................................... Mobile :.................................................................. Email :.................................................................... Other Organizations & Positions :......................... …............................................................................ …............................................................................ .

I confirm that I want to be a member of the Burmese Muslim Association of my own wish; and I will abide by its rules and regulations.

Signature………............................ Date……………............................

http://www.b-m-a.org/