Member Form – Ocean Pearl Hotel

Full Name

Full Address

Email Address

Phone Number

National ID No.:

Nominee -

Nominee Full Name

Nominee NID/ Birth Certificate Number

Relationship with Nominee

Your Photo (Passport Size):

Nominee Photo (Passport SIze):

File Upload (Your NID Card)

File Upload (Nominee NID/ Birth Certificate)

Applicant's Full Name:

Father's/Husband's Name:

Father's/Husband's Name:

Applicant's Mother's Name:

Present Address:

Permanent Address:

Phone No (Residence):.

Mobile No:

Fax & E-mail:

Religion:

Marital Status:

Nationality:

Marriage Day:.

National ID No.:

Passport No:

TIN No (if any):

Profession / Occupation:

Designation:

Phone No:

Office Address:

Nominee:

Name:

Relation with the applicant:

Phone No:

Mobile No:

Address:

Applicant’s Photo

Nominee's passport size photo