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| Full Name | ZAKIA HASHMI RIPA |
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| SSC Batch | 1982 |
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| Father's Name | MD HABIZ UDDIN |
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| Present Address | 234/8 CHAPULIA, 24 WARD, GAZIPURCITY CORPORATION, GAZIPUR |
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| Blood Group | B+ |
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| Occupational Address | BAWPARA GOVT. PRIMARY SCHOOL, 21 , WORD, GAZIPUR CITY CORPORATION, GAZIPUR |
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| Permanent Address | 234/8 CHAPULIA, 24 WARD, GAZIPURCITY CORPORATION, GAZIPUR |
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| Mobile Number | 01715658937 |
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| Payment Information | |
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| Date of Birth | 02/12/1967 |
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| Member Type | Lifetime Member |
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| National ID No. | 8657810159 |
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| Present Occupation | HEAD TEACHERE |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01715658937 |
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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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