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| Full Name | Md.Shafiul Alam |
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| SSC Batch | 1987 |
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| Father's Name | Muklesur Rahman Khan |
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| Present Address | F-4/14, BOF R/A, Gazipkur Cantt, Gazipur. |
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| Blood Group | O+ |
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| Permanent Address | Vill: Nirni, P.O.- Uzampur-1230, P.S.- Uttar Khan, Dist-Dhaka. |
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| Mobile Number | 01716314045 |
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| Payment Information | |
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| Date of Birth | 20/08/1972 |
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| Member Type | General Member |
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| National ID No. | 5527210164 |
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| Present Occupation | Business |
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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. |
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