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| Full Name | Mohammad Mainul Islam |
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| SSC Batch | 1992 |
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| Father's Name | Md. Abdul Barek |
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| Present Address | 261/12, Chapulia Road, BIDC Bazar, Joydebpur. |
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| Blood Group | O+ |
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| Occupational Address | RANGS Electronocs, Joydebpur, Gazipur Branch, Gazipur |
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| Permanent Address | 210, East Jhalokathi Sadar, Jhalokathi -8400 |
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| Birth Certificate No. | 19774223302093398 |
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| Mobile Number | 01816814239 |
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| Payment Information | |
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| Date of Birth | 01/01/1977 |
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| Member Type | Lifetime Member |
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| National ID No. | 4181254352 |
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| Present Occupation | Showroom Incharge |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01816814239 |
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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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