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| Full Name | HOSSAIN SHAWAKAT |
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| SSC Batch | 1986 |
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| Father's Name | ABDUL MANNAN |
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| Present Address | CB-130, SOUTH CHATAR BOF, GAZIPUR SADAR, GAZIPUR |
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| Blood Group | O+ |
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| Permanent Address | CB-130, SOUTH CHATAR BOF, GAZIPUR SADAR, GAZIPUR |
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| Mobile Number | N/A |
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| Payment Information | |
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| Date of Birth | 12/05/1975 |
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| Member Type | General Member |
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| Payment Option | bKash |
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| Sender Mobile Number | N/A |
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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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