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| Full Name | Md. Tariqul Islam |
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| SSC Batch | 1994 |
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| Father's Name | Md. Momtaz Ali |
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| Present Address | 329, Block-A, Naga, Ward-19, Gazipur Sadar, Gazipur. |
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| Blood Group | B+ |
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| Occupational Address | Abul Kalam Spinning Mills, Soto Silmondi, Sonargaon, Narayangonj |
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| Permanent Address | 329, Block-A, Naga, Ward-19, Gazipur Sadar, Gazipur. |
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| Mobile Number | 01712801865 |
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| Payment Information | |
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| Date of Birth | 07/07/1978 |
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| Member Type | Lifetime Member |
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| National ID No. | 5064519225 |
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| Present Occupation | Deputy General Manager (QAD) |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01712801865 |
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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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