Membership Registration Form

Contact Details

You are only a few steps awayfrom completing your Membership Registration Form.

Gender: *		Male Female Please select a gender
Full Name: *		Please provide your full name as shown on your CNIC. Please provide fullname
Father's Name: *		Please provide your Father's Name Please provide fullname of your Father
Email:		Please provide your correct e-mail address that could be used for correspondence with the trust. Please enter valid email address
Phone Numbers: *		Mobile 0300 0301 0302 0303 0304 0305 0306 0307 0308 0309 0331 0332 0333 0334 0335 0336 0341 0342 0343 0344 0345 0346 0347 0321 0322 0323 0324 0325 0311 0312 0313 0314 0315 0315 0364 0365 0355 0581   The phone number provided by you is not valid Please provide your correct mobile number. All alerts and updates would be sent to you on this number via SMS. This number will also work as your Login ID to your member area of Bashir Shaikh Memorial Trust. The phone number provided by you is not valid
Phone Numbers: (optional)		Office 021 The phone number provided by you is not valid Please provide your alternative phone number.
Phone Numbers: (optional)		Home 021   The phone number provided by you is not valid Please provide your alternative phone number.

Indicate Your Profession

Profession: *

* Please select your profession

Protect Your Information With a Password

The password you create here along with your Mobile Number will be required to access your account area. Your account area is accessible to you 24/7. Using your Mobile Number and password, you may edit your given information anytime.

Password: *		Please type your password Please enter password
Confirm Password: *		Please re-type your password Please re-enter password

	Your passwords do not match.
	Login failed for user 'BSMT'.