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| Full Name | MUHAMMAD SUGIPTA AL MAMUN |
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| Type | Student |
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| SSC Batch | 1994 |
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| Father's Name | MD ALAL UDDIN |
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| Present Address | HOUSE NO.452/A SHANTIBAG, SHIULTOLY GAZIPUR CITY CORPORATION GAZIPUR-1703 |
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| Blood Group | A+ |
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| Occupational Address | 422/5 MOUBAD ROAD , SHIMULTOLI, GAZIPUR-1703 |
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| Permanent Address | HOUSE NO.452/A SHANTIBAG, SHIULTOLY GAZIPUR CITY CORPORATION GAZIPUR-1703 |
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| Mobile Number | 01717079142 |
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| Payment Information | |
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| Date of Birth | 04/05/1978 |
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| Member Type | General Member |
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| National ID No. | 8209146185 |
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| Present Occupation | MANAGING DIRECTOR, NILIMA PROPERTIES LTD |
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| Payment Option | Cash |
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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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