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| Full Name | Zakia sultana Shanta |
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| SSC Batch | 2016 |
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| Father's Name | Mohammad Sultan Mahmud |
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| Present Address | 59, Sheltech Nishowrga, South Chatar, Shaheed Zaman Sarok, BOF, Ward-24, Gazipur City Corporation, Gazipur. |
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| Blood Group | O- |
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| Occupational Address | KUET, Department- EEE, Final Year |
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| Permanent Address | Vill: Lawagram, P.O.- Chantara, P.S.- Ghatail, Dist- Tangail. |
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| Mobile Number | 01775448507 |
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| Payment Information | |
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| Date of Birth | 21/02/2001 |
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| Member Type | Lifetime Member |
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| National ID No. | 8710836977 |
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| Present Occupation | Student |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01775448507 |
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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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