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| Full Name | Md. Shariful Islam |
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| Type | Student |
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| SSC Batch | 1992 |
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| Father's Name | Md. Ruhul Quddus |
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| Present Address | 188/1, West Chatar,BOF, Gazipur Sadar, Gazipur. |
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| Blood Group | O+ |
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| Occupational Address | Field Research Officer, Infetious Discase Division, ICDDRB, 68 Shahid Tajuddin Ahmed Shorani, Mohakhali, Dhaka-1212. |
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| Permanent Address | 188/1, West Chatar,BOF, Gazipur Sadar, Gazipur. |
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| Mobile Number | 01716636689 |
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| Payment Information | |
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| Date of Birth | 08/10/1976 |
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| Member Type | General Member |
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| National ID No. | 1909190520 |
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| Present Occupation | Service |
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| Payment Option | bKash |
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| Sender Mobile Number | 01716636689 |
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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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