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| Full Name | MD MUBARAK HOSSAIN |
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| SSC Batch | 2000 |
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| Father's Name | MD SHAH JAMAL AZAD |
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| Present Address | HOUSE-494/3, NURBAAG, SOUTH CHATAR, WORD-24, GAZIPUR CITY CORPORATION, GAZIPUR |
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| Blood Group | A+ |
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| Occupational Address | ITL-UK,HOUSE-30, LAKE DRIVE ROAD, SECTOR-7, UTTORA, DHAKA |
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| Permanent Address | HOUSE-494/3, NURBAAG, SOUTH CHATAR, WORD-24, GAZIPUR CITY CORPORATION, GAZIPUR |
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| Mobile Number | 01707777222 |
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| Payment Information | |
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| Date of Birth | 01/08/1984 |
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| Member Type | General Member |
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| Present Occupation | SERVICE |
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| Payment Option | bKash |
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| Sender Mobile Number | 0170777722 |
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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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