| | |
|---|
| |  |
|---|
| Full Name | MD MANZUR RAHMAN TALUKDER |
|---|
| SSC Batch | 1979 |
|---|
| Father's Name | LATE DR. ABDUL GHAFUR TALUKDER |
|---|
| Present Address | HOUSE NO-250/6, MAJAR ROAD, LALKUTI 2ND KHOLONI, BLAOCK -A, MIRPUR-1216, DHAKA |
|---|
| Blood Group | B+ |
|---|
| Occupational Address | MIRPUR, DHAKA |
|---|
| Permanent Address | HOUSE NO-250/6, MAJAR ROAD, LALKUTI 2ND KHOLONI, BLAOCK -A, MIRPUR-1216, DHAKA |
|---|
| Mobile Number | 01793256060 |
|---|
| Payment Information | |
|---|
| Date of Birth | 24/11/1964 |
|---|
| Member Type | General Member |
|---|
| National ID No. | 2805342306 |
|---|
| Present Occupation | BUSINESS |
|---|
| Payment Option | bKash |
|---|
| Sender Mobile Number | 01793256060 |
|---|
| Membership fee (General) | 500 |
|---|
| Approved? (Admin-only) | |
|---|
| 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. |
|---|
