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| Full Name | Shamima Akhter |
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| SSC Batch | 1979 |
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| Father's Name | Late. Kafil Uddin Khan |
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| Present Address | House-398/3, West Bhurulia, P.O.- DUET, P.S.- Gazipur Sadar, Dist.- Gazipur. |
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| Blood Group | B+ |
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| Occupational Address | Palton, Dhaka |
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| Permanent Address | Vill: Berua, P.O.- Bhawal Bromun Goan, P.S.- Kaligonj, Dist. - Gazipur |
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| Mobile Number | 01816319677 |
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| Payment Information | |
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| Date of Birth | 01/06/1964 |
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| Member Type | General Member |
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| National ID No. | 1003638150 |
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| Present Occupation | Service |
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| Payment Option | bKash |
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| Sender Mobile Number | 01816319677 |
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| Membership fee (General) | 500 |
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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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