Membership Application Form | KSIJ Melbourne Australia

Spouse Personal Details
Spouse Name*

First NameLast Name
Spouse Date of Brith (Only Year)*
Spouse Mobile Number*

Area CodePhone Number
Spouse E-mail*
Spouse Khoja / Non-Khoja*

KhojaNon - Khoja
Spouse Current situation*

Full Time Worker / House WorkerPensionerFull Time Student

Payment Options
Payment Options*

CashBank Transfer
Cash Payments

Payment must be made within 7 days of submitting membership application.

To arrange the payment please contact Hon. Treasurer Br Farrukh Raza Sewani at treasurer@ksijmelbourne.org.au
Bank Transfer

KSIJ Melbourne Bank Details

Bank Name: National Bank of Australia

Account Title: Khoja Shia Ithna-Ashari Jamaat of Melbourne Inc.

BSB Number: 083-163

Account Number: 83-723-4853

When making payment please include your name as reference
PayPal

KSIJ Melbourne has applied for the PayPal account to allow members to pay membership using Credit Card.

Please Note: there is a PayPal surcharge of 2.5% + 0.30c per transaction
Payment via PayPal

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Membership Form