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| Full Name | MD. ABDUL MOMIN (Murad) |
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| Type | Student |
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| SSC Batch | 1994 |
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| Father's Name | MD ALAUDDIN |
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| Present Address | 445/4 SHIMULTOLI, WORD-24, GAZIPUR CITY CORPORATION , GAZIPUR -1703 |
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| Blood Group | A+ |
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| Occupational Address | EXECUTIVE( ACCOUNTS) BMTF, GAZIPUR-1703 |
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| Permanent Address | VILL: CHILGACHA,POST: KURALIA, PS: SIRAJGANJ SADAR, DIST: SIRAJGANJ |
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| Mobile Number | 01712445794 |
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| Payment Information | |
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| Date of Birth | 17/11/1978 |
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| Member Type | General Member |
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| National ID No. | 8658887743 |
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| Present Occupation | SERVICE |
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| Payment Option | bKash |
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| Sender Mobile Number | 01712445794 |
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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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