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| Full Name | A H M Rafiqul Islam |
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| SSC Batch | 1990 |
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| Father's Name | Md. Abdus Satter |
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| Present Address | 423/13, Moubag, Shimultoli, Gazipur Sadar, Gazipur |
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| Blood Group | B+ |
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| Occupational Address | Commodore Rafiq, Senior Instructor, MIST, Mirpur Cantt, Dhaka |
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| Permanent Address | 423/13, Moubag, Shimultoli, Gazipur Sadar, Gazipur |
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| Mobile Number | 01724497911 |
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| Payment Information | |
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| Date of Birth | 31/12/1973 |
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| Member Type | Lifetime Member |
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| National ID No. | 5956503774 |
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| Present Occupation | Govt. Service in Bangladesh Navy |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01724497911 |
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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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