APPLICATION FORM FOR GENERAL MEMBERSHIP
The Secretary General,
JBCCI
I/We request you to kindly enroll our firm/company/organization as a General Member of your esteemed Chamber.
For your record and reference, the particulars of our organization are given overleaf. A Bank Draft/Pay Order/Cheque
No: …………………….. dated ………………… for Tk. 50,000.00 . in favour of ‘Japan-Bangladesh Chamber
of Commerce and Industry’ is enclosed towards Entry Fee and Annual Membership Fee for the current year.
I / We undertake to abide by the rules and regulations of the Chamber and to promote its objectives.
Yours faithfully,
Signature & Seal of the Applicant:
Name & Designation: Mr. Yuji Kido; Managing Director
Address : . Level-11, Sanmar Tower-2, Plot # 38 A, Road-35, Gulshan-2,
Gulshan Model Town, Gulshan, Dhaka-1212, Bangladesh
……………………………………………………………………………..
Proposed by: Signature & Seal :
Name & Designation :
Address : Safura Tower (10th Floor Southern Side), 20 Kemal Ataturk Avenue,
Banani C/A, Dhaka-1213
……………………………………………………………………..…..…..
Second by: Signature & Seal :
Name & Designation :
Address : ……………..……………………………………………………
…………………………………………………………………….……….
FOR OFFICIAL USE
Date of Receipt of Application : Payment by Bank Draft/ Pay order/ Cheque
Date of Approval of Membership : No:…………………………………………
Date of Confirmation of Membership : dated:………………..…for Tk………….
Money Receipt No… …..dated …………..
TREASURER SECRETARY GENERAL PRESIDENT
J apan-Bangladesh Chamber of Commerce and Industry
Flat # 3-B, House # 30, (3 rd Floor), Road # 18, Block # A, Banani, Dhaka-1213. Tel/Fax: +880-2-55034006
E-mail: info@jbccibd.com , jbcci@citech-bd.com , Website: www.jbccibd.com
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Mr. Tadoaki Watanabe; Director
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PARTICULARS OF THE APPLICANT FOR GENERAL MEMBERSHIP OF JBCCI
1. Name of the Firm (in block letters): MIURA BANGLADESH CO., LTD.
2. Address: Level-11, Sanmar Tower-2, Plot # 38 A, Road-35, Gulshan-2, Gulshan Model Town, Gulshan,
Dhaka-1212, Bangladesh
3. Nature of Business / Activities:
4. Status of the Firm:
a. If Proprietorship, Name of the Proprietor:
b. If Partnership, Name of the Partners
Partnership Deed/Certificate of Registration
c. If limited Company/Organization :
Copy of the Memorandum and Articles of Association
duly signed by all the Subscribers
Certificate of Incorporation
*5. Trades License
*6. TIN
*7. VAT Registration
8. Bankers/Bank solvency Certificate (original copy)
9. Name & Nationality of the nominated
Representative to the Chamber along with two
copies of his/her passport-size photograph
10. Name & Address of the major Business Partners in Japan / Bangladesh
(Documentary evidence of the business relationship has to be submitted)
a)
b)
c)
: Photocopy duly signed by all the
partners to be attached
: To be attached
: Photocopy to be attached
: Photocopy to be attached
: Photocopy to be attached
: Photocopy to be attached
: Current Certificate to be attached
:
:
I do hereby solemnly affirm that I shall offer my services towards promoting mutual cooperation and help amongst the
members of ‘Japan-Bangladesh Chamber of Commerce and Industry’.
I hereby agree and affirm unconditionally that the Board of Directors of ‘Japan Bangladesh Chamber of Commerce
and Industry’ shall have the full right to cancel our membership with the Chamber, if in their judgment our activities
are found detrimental to the interest of the Chamber.
Signature and Seal of the Applicant
* Not applicable for all Japanese organization in Bangladesh.
Note: If the applicant is a liaison office, the permission of the Board of Investment and Bangladesh Bank are to be attached
Selling of boiler parts, boiler chemicals, quality analysis, Production of boiler
chemicals, Energy saving analysis
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166333848808
005491815-0101
TRAD/DNCC/139753/2022