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| Full Name | S.M Shafiullah Mukul |
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| SSC Batch | 1991 |
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| Father's Name | Muhammad Sultan Uddin |
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| Present Address | House-F-3/4, BOF, Gazipur Cantt-1703 |
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| Blood Group | A+ |
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| Occupational Address | 261/9, Shantibag, Shimultoli, Ward-24, Gazipur City-1703 |
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| Permanent Address | 261/9, Shantibag, Shimultoli, Ward-24, Gazipur City-1703 |
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| Birth Certificate No. | 19753393324056695 |
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| Mobile Number | 01712281411 |
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| Payment Information | |
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| Date of Birth | 21/12/1975 |
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| Member Type | General Member |
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| National ID No. | 7781430652 |
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| Present Occupation | Personal Business |
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| Payment Option | bKash |
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| Sender Mobile Number | 01712281411 |
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| Membership fee (General) | 500 |
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| Approved? (Admin-only) | |
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| Agreement |  I agree to the privacy policy.
I hereby declare that the information above provided by me are true and correct to the best of my knowledge. I hereby sign this form to register myself to be member at the Gazipur Cantonment Board High School Alumni Association. |
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