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| Full Name | MD MOAZZEM HOSSAIN KHAN |
| Type | Student |
| SSC Batch | 1994 |
| Father's Name | ANWAR HOSSAIN KHAN |
| Mother's Name | Ashura Khanam |
| Email Address | moazzem_spl@yahoo.com |
| Present Address | MITU GAWSIA MINAR 436, FLAT#5/A, VASHANTEK POCKET GATE,DHAKA CANTONMENT |
| Blood Group | O+ |
| Occupational Address | SQURARE PHYMACEUTICALS PLC, GROUP COORDINATOR, INTERNATIONAL MARKETING DEPT. 48,MOHAKHALI C/A, DHAKA-1212 |
| Permanent Address | 483,BMTF OFFCER'S COLONY GATE, SOUTH CHATAR, P.O-BOF, GAZIPUR SADAR, GAZIPUR |
| Mobile Number | 01713041187 |
| Payment Information | |
| Date of Birth | 21/10/1978 |
| Member Type | Lifetime Member |
| National ID No. | 5544242067 |
| Present Occupation | PHARMACIST |
| Membership fee (Lifetime) | 5000 |
| Payment Option | bKash |
| Sender Mobile Number | 01713041187 |
| Approved? (Admin-only) |
|
| Agreement |  I agree to the privacy policy. |
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