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| Full Name | ROKSHANA BEGUM |
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| SSC Batch | 1979 |
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| Father's Name | LATE ASHEQUR RAHMNA BHUYAIN |
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| Present Address | BLOCK NO E-6/11, GAZIPUR CANTT, GAZIPUR |
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| Blood Group | A+ |
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| Occupational Address | BANGLADESH ORDINENCE FACTORIES (BOF) |
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| Permanent Address | VILL: NOA PARA, PO: BHAWAL NOA PARA, PS: KALIGONG, DIST: GAZIPUR SADAR |
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| Mobile Number | 01984649129 |
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| Payment Information | |
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| Date of Birth | 05/02/1964 |
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| Member Type | General Member |
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| National ID No. | 8659376456 |
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| Present Occupation | OFFICE SUPERITENDENT (RTD) |
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| Payment Option | bKash |
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| Sender Mobile Number | 01984649129 |
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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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