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| Full Name | AHAMED MUSA BIN HAFIZ |
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| SSC Batch | 2011 |
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| Father's Name | MD HABIZ UDDIN |
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| Present Address | 234/8 CHAPULIA, 24 NO WORD, GAZIPUR CITY CORPORATION , GAZIPU |
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| Blood Group | B+ |
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| Occupational Address | UNITED HOSIPTAL BADDA, DHAKA |
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| Permanent Address | 234/8 CHAPULIA, 24 NO WORD, GAZIPUR CITY CORPORATION , GAZIPU |
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| Mobile Number | 01723236059 |
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| Payment Information | |
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| Date of Birth | 14/02/1995 |
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| Member Type | Lifetime Member |
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| National ID No. | 4618923256 |
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| Present Occupation | DOCTOR |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | Cash |
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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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