The Hong Kong Bengali Association

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Email Address : *
 
Name : *
Mobile Number : *
852
 
HK ID :
New HKBA Member : *
 
Residence Address :
Residence Phone No. :
 
 
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Sub-district :
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Member Type : *
Spouse Name :
 
Spouse Email :
Spouse Mobile No. :
852
 
Associate Member : *
 
 
Children details :
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Payment Ref. No. : *
Payment Date : *(YYYY-MM-DD)
 
Member Photo : *
Scan copy of HKID :
 
Scan copy of Payment Acknowledgement: *