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 Surgeons of Bangladesh 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.
Note: Please attach the highest or latest postgraduation certificate.
Address: Secretary General, Society of Surgeons of Bangladesh, Department of Surgery, Dhaka Medical College Hospital, Room no-33, Ground floor, Dhaka-1000, Cell no. + 8801777752830, +8801711749096 E-mail: firstname.lastname@example.org Website: www.sosb-bd.org