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| Full Name | MUHAMMAD MIZANUR RAHMAN |
| Type | Student |
| SSC Batch | 1991 |
| Father's Name | LATE ABDUS SATTAR |
| Present Address | GCC-261/12,CHAPULIA ROAD, BIDC, BOF-1703, GAZIPUR SADAR, GAZIPUR |
| Blood Group | AB+ |
| Occupational Address | DGM-ADMIN, BEXIMCO HOLDINGS LTD, SAMTOWER (L-8), PLOT#04, ROAD# 22, GULSHAN,-1, DHAKA |
| Permanent Address | VILL-SUTARPARA, POST: DOHAR(1330) PS: DOHAR, DIST: DHAKA |
| Mobile Number | 01711199099 |
| Payment Information | |
| Date of Birth | 25/12/1975 |
| Member Type | Lifetime Member |
| National ID No. | 1909255927 |
| Present Occupation | PRIVATE SERVICE |
| Membership fee (Lifetime) | 5000 |
| Payment Option | Cash |
| Approved? (Admin-only) |
|
| Agreement |  I agree to the privacy policy. |
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