form – Chattogram Culture Club Limited (CCCL)

SECTION 1: MEMBERSHIP POLICY

1.1 Objective

To establish a transparent, inclusive, and internationally benchmarked membership framework ensuring alignment with CCCL’s mission, ethics, and governance standards.

1.2 General Membership Qualification Criteria

Academic Qualification

Minimum Graduates Degree in any discipline

Exception Clause:
Exceptional applicants may be considered subject to Executive Board approval.

Professional & Ethical Standards

Integrity and ethical conduct
Respect for diversity and inclusivity
Professional excellence
Commitment to culture

Compliance Requirements

Clean legal and financial background
No fraud or misconduct
Agreement to CCCL policies

1.6 Risk Classification

Risk Level	Criteria	Decision
Low	Fully compliant	Approval
Medium	Minor gaps	Conditional
High	Ethical/legal concerns	Rejection

SECTION 2: MEMBERSHIP APPLICATION FORM

Personal Information

Full Name / Organization Name: *

Date of Birth / Incorporation: *

National ID / Passport / Trade License: *

Gender *

Occupation / Industry *

Designation *

Nationality *

ETIN Number *

Email *

Phone No: *

Website / Social Media

Address

Present Adress

Local Address *

City *

Division *

Country *

Permanent Adress

Local Address *

City *

Division *

Country *

NOMINEES (Corporate / Family)

Nominee 1

Nominee Name *

NID NO *

Relation with Nomenee *

Nominee Photo *

Maximum file size: 5 MB

Nominee 2

Nominee Name

NID NO

Relation with Nomenee

Nominee Photo

Maximum file size: 5 MB

Nominee 3

Nominee Name

NID NO

Relation with Nomenee

Nominee Photo

Maximum file size: 5 MB

STATEMENT OF INTEREST (Max 250 words)

Explain alignment with CCCL mission:

Culture *

Youth *

Innovation *

Legacy *

PROFESSIONAL & CIVIC ENGAGEMENT

Cultural Contributions *

Club Memberships *

Leadership Experience *

DOCUMENT CHECKLIST

DOCUMENT CHECKLIST *

National ID / Passport / Trade License

CV/Profile

Upload Selected Documents *

Maximum file size: 20 MB

I hereby declare that all information submitted in this application is true, accurate, and complete to the best of my knowledge. I confirm that I have no criminal record and agree to abide by all applicable ethical standards. I commit to fully complying with the CCCL Code of Conduct, upholding integrity and transparency in all professional activities, and demonstrating respect for diversity and inclusivity in all interactions.

Conflict of Interest *

If declared, explain

Aplicant Signature

Applicant Name *

Applicant Profile Image *

Maximum file size: 5 MB

Applicant Signature *

Maximum file size: 5 MB

Guardian Signature (Youth)

Maximum file size: 5 MB