AADVDA- Membership Registration

Apply for Membership

In case registration fee is deducted from your bank account but ID card is not generated. Click here to verify your payment details.
যদি আপোনাৰ বেংক একাউণ্টৰ পৰা পঞ্জীয়ন মাচুল কৰ্তন কৰা হয় কিন্তু আইডি কাৰ্ড সৃষ্টি নহয়। আপোনাৰ পেমেণ্টৰ বিৱৰণ পৰীক্ষা কৰিবলৈ ইয়াত ক্লিক কৰক।

Personal Details

Applicant's Full Name*

Applicant Father's Name*

Applicant Mother's Name*

Mobile Number*

E-Mail ID

Date of Birth*

Category*

Gender*

Blood Group*

Relation with Person*

Name of Guardian / Caretaker*

Contact No. of Guardian / Caretaker*

Photo *

(Only jpeg, jpg and png images with size 15 KB to 100 KB allowed and Photo image Width and Height less than 800px allowed)

(Only jpeg, jpg and png images with size 15 KB to 100 KB allowed).

Signature / Thumb / Other Print

Signature Passport Size 35x45mm

(Only jpeg, jpg and png images with size 3 KB to 30 KB allowed)

Unique Disability ID Card Details

Do you have Unique Disability Card*

Card Number*

Upload Identity Card * (Only jpeg, jpg and png images with size 10 KB to 500 KB allowed).

Disability Details

Disability Type*

Disability Percentage*

Disability by Birth*

User Verification and Declaration

I hereby declare that what is stated above is true to the best of my knowledge. *