Wednesday 11 December 2019 27 Akhayrayan 1426
+8801727-152562
slsb.bd@gmail.com
APPLY SLSB MEMBERSHIP - SLSB

Membership Form
Postgraduation
College / University (1)
College / University (2)
College / University (3)
Payment Option
Bank Deposit Slip
Bkash/Rocket:
I hereby declare that the particulars given above are correct and I am assuring that if at any time any statement given above is found to be incorrect, my membership, if granted, will be liable to be cancelled and the fee paid by me will be forfeited.

I do hereby solemnly pledge my full confidence in the constitution of the Society of Laparoscopic Surgeons of Bangladesh (SLSB) and agree to abide by its rules and regulations. Any decision of the General Body/ Executive Council Shall be binding on me. I pledge NOT to involve myself in anyway which may dishonor the prestige of the Society and its members.
Enclosure
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Postgraduation Certificate
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Society of Laparoscopic Surgeons of Bangladesh (SLSB)
2/E/1/G, Mymensingh Road, Shahbag, Dhaka
Mobile : +8801727-152562, Email: slsb.bd@gmail.com, Website : www.slsb-bd.com
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