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| Full Name | Rafiqul Islam |
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| SSC Batch | 1992 |
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| Father's Name | Md. Abul Kashem |
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| Present Address | 601/11 (A), South Chatar, BIDC, Gazipur. |
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| Blood Group | O+ |
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| Occupational Address | BOF High School, Gazipur |
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| Permanent Address | 601/11 (A), South Chatar, BIDC, Gazipur. |
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| Mobile Number | 01923139975 |
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| Payment Information | |
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| Date of Birth | 01/07/1977 |
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| Member Type | General Member |
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| National ID No. | 7309238124 |
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| Present Occupation | Teacher |
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| Payment Option | bKash |
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| Sender Mobile Number | 01923139975 |
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| Membership fee (General) | 500 |
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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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