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| ![](https://www.gcbhsaa.org/index.php?gf-download=2023%2F11%2FForm-303.jpg&form-id=1&field-id=19&hash=37285d9a5445d1c48c61fd920c6dea07463318d6194895d7542272919842f98a) |
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Full Name | Md. Rejaul Karim |
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Type | Teacher |
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Father's Name | Md. Mozibor Rahman |
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Present Address | 78, Sheltech Nishowrga, South Chatar, Shaheed Zaman Sarok, BOF, Ward-24, Gazipur City Gazipur. |
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Blood Group | O+ |
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Occupational Address | Assistant Teacher, Gazipur Cantonment Board High School, Gazipur |
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Permanent Address | Vill: Changtia, P.O.- Dharoil Hat, P.S.- Ullapara, Dist-Sirajgonj. |
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Birth Certificate No. | 19663393324036465 |
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Mobile Number | 01716259596 |
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Payment Information | |
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Date of Birth | 01/11/1966 |
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Member Type | General Member |
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National ID No. | 5509109434 |
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Present Occupation | Teaching |
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Payment Option | Cash |
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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. |