| | |
|---|
| Full Name | KAZI TAREQ |
|---|
| SSC Batch | 1991 |
|---|
| Father's Name | KAZI ABDUL KHALEQUE |
|---|
| Present Address | FLAT-5/C, SHAPONOPURI TOWER, SALNA ROAD, BDP GATE, SHIMULTOLY, BOF, GAZIPUR-1703 |
|---|
| Blood Group | B+ |
|---|
| Occupational Address | DGM, BASHUNDHARA GROUP, SECTOR-C, BASHUDHARA, R/A DHAKA-1229, BANGLADESH |
|---|
| Permanent Address | SHIMULTOLY, BOF, GAZIPUR-1703 |
|---|
| Mobile Number | 01730018316 |
|---|
| Payment Information | |
|---|
| Date of Birth | 20/12/1975 |
|---|
| Member Type | General Member |
|---|
| Present Occupation | PRIVATE SERVICE |
|---|
| Membership fee (Lifetime) | 0 |
|---|
| Payment Option | bKash |
|---|
| Sender Mobile Number | 01730018316 |
|---|
| Membership fee (General) | 500 |
|---|
| Approved? (Admin-only) | |
|---|
| 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. |
|---|
