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| Full Name | MUHAMMAD MIZANUR RAHMAN |
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| Type | Student |
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| SSC Batch | 1991 |
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| Father's Name | LATE ABDUS SATTAR |
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| Present Address | GCC-261/12,CHAPULIA ROAD, BIDC, BOF-1703, GAZIPUR SADAR, GAZIPUR |
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| Blood Group | AB+ |
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| Occupational Address | DGM-ADMIN, BEXIMCO HOLDINGS LTD, SAMTOWER (L-8), PLOT#04, ROAD# 22, GULSHAN,-1, DHAKA |
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| Permanent Address | VILL-SUTARPARA, POST: DOHAR(1330) PS: DOHAR, DIST: DHAKA |
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| Mobile Number | 01711199099 |
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| Payment Information | |
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| Date of Birth | 25/12/1975 |
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| Member Type | Lifetime Member |
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| National ID No. | 1909255927 |
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| Present Occupation | PRIVATE 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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