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| Full Name | Mohammad Mozammel Hossain Khan |
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| SSC Batch | 1991 |
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| Father's Name | Mohammad Anwar Hossain Khan |
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| Present Address | Dolonchapa-10, Elenbari Govt. Officers Quater, Bijoy Shoroni, Dhaka. |
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| Blood Group | O+ |
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| Occupational Address | Health Service Division, Ministry of Health and Family Welfare, Bangladesh. |
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| Permanent Address | 483, South Chatar, P.O.- BOF, Gazipur. |
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| Mobile Number | 01781757576 |
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| Payment Information | |
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| Date of Birth | 07/04/1976 |
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| Member Type | Lifetime Member |
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| National ID No. | 19763353098236407 |
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| Present Occupation | Government Service |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | Cash |
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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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