CAR STICKER AGC by nuhman10

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									                                                    ARMY GOLF CLUB
                                 Dhaka Cantonment Dhaka-1206, Bangladesh

                                       APPLICATION FORM FOR CAR STICKER

1. Name of Applicant                  .................................................................................................
                                                :
2. Membership No                      .................................................................................................
                                                :
3. Nationality                        .................................................................................................
                                                :
4. Official Address                   .................................................................................................
                                                :
                                      .................................................................................................
                                   Telephone No : .................................................
                                   Fax No : ............................................................
5. Residential Address             : ..................................................................................................
                                      .................................................................................................
                                   Telephone No : .................................................
                                   Fax No : ............................................................
6. Vehicle Registration No         : .........................................................................................
7. Date of Registration            : .........................................................................................
8. Type / Model of Vehicle         : .........................................................................................
9. Color of Vehicle                : .........................................................................................
10. Vehicle Engine No              : .........................................................................................
11. Vehicle Chassis No             : .........................................................................................
12. Fitness Certificate Valid till : .........................................................................................
13. Road Tax Valid till            : .........................................................................................
14. Vehicle owned by               : .........................................................................................
    (Write name of Organization / Company / Dependent if the vehicle is not owned by you)


__________________                                                                                        _________________
Signature of Applicant                                                                                    Signature of Owner

                                        TO BE FILLED IN BY ARMY GOLF CLUB
15. Issued Car Sticker No                   : .........................................................................................
16. Date of Issue                           : .........................................................................................
17. Valid Till                              : .........................................................................................


_______________________                                                                       _______________________
Signature of Issuing Clerk                                                                    Signature of Accountant

Date : ................................. Date : ................................


                                                                                 ___________________
                                                                                 EXECUTIVE OFFICER
                                                                                 Date:
_____________________________________________________________________________
NOTE:
1. Application form is to be submitted duly filled up in all respect in one copy.
2. Please enclose copies of Blue Book / Registration Certificate, Fitness Certificate and Road Tax token of the vehicle
   for which applied.
3. Additional Certificate by the relevant Authority / Company / Organization / Dependent(s) who is the actual owner of
   the vehicle, if the same is not belonging to the applicant, will be needed.
4. The sticker issued will be valid for

								
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