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| Full Name | Gour Chandra Banik |
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| SSC Batch | 1973 |
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| Father's Name | Hemanta Kumar Banik |
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| Present Address | 4/3, Teachers Quaters, BOF, Gazipur Cantt, Gazipur, |
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| Blood Group | B+ |
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| Occupational Address | Gazipur Cantonment Board High School, Gazipur |
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| Permanent Address | Vill: Duajani, P.O.-Nagarpur, P.S.-Nagarpur, Dist.- Tangail. |
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| Birth Certificate No. | 200793767310265 |
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| Mobile Number | 01728352799 |
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| Payment Information | |
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| Date of Birth | 22/10/1984 |
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| Member Type | General Member |
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| National ID No. | 9317673149701 |
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| Present Occupation | Teacher |
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| Payment Option | bKash |
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| Sender Mobile Number | 01728352799 |
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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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