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| Full Name | Anika Fahmida Tasmia |
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| SSC Batch | 2018 |
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| Father's Name | Mir Masud Rana Chowdhury |
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| Present Address | Sheltech Housing, Shimultoli, BIDC Road, Joydebpur, Gazipur. |
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| Blood Group | O+ |
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| Occupational Address | B.A Hon's, Department Of English, Bhawal Badre Alam Govt. College. |
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| Permanent Address | Vill:Sutail, P.O.- Mirpur, P.S.- Mirpur, Dist.- Kushtia |
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| Birth Certificate No. | 20023333098000616 |
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| Mobile Number | 01324908141 |
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| Payment Information | |
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| Date of Birth | 07/11/2002 |
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| Member Type | General Member |
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| National ID No. | 4669155477 |
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| Present Occupation | Student |
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| Payment Option | bKash |
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| Sender Mobile Number | 01324908141 |
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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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