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| Full Name | A.K.M RAKIBUL HASSAN |
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| Type | Student |
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| SSC Batch | 1991 |
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| Father's Name | MD. ALTAF HOSSAIN |
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| Present Address | HOUSE#265/2, VILL: CHAPULIA, BOF, GAZIPUR CITY CORPORATION, GAZIPUR-1703 |
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| Blood Group | O+ |
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| Occupational Address | RANGS MOTOR'S LTD, 117/A, (LEVEL-4) OLD AIRPORT ROAD, BIJOY SORONI,TEJGAON , DHAKA |
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| Permanent Address | HOUSE#265/2, VILL: CHAPULIA, BOF, GAZIPUR CITY CORPORATION, GAZIPUR-1703 |
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| Mobile Number | 01711235644 |
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| Payment Information | |
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| Date of Birth | 18/01/1975 |
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| Member Type | Lifetime Member |
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| National ID No. | 5059072107 |
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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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