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| Full Name | Mohammad Monir Hossain (Adil) |
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| Type | Student |
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| SSC Batch | 1991 |
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| Father's Name | LATE AZIZ AHMED |
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| Email Address | monir77746@gmail.com |
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| Present Address | HOUSE-13/8, SHIMULLAH ROAD, MOHAMMADPUR, DHAKA-1207, |
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| Blood Group | A+ |
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| Occupational Address | UNIT-KA-11, LEVEL-11, POLICE PLAZA CONCORD,PLOT-02, ROAD-144, GULSHAN AVENUE, DHAKA-1212 |
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| Permanent Address | HOUSE-408/7, CHAYABAG, CHATA SHIMULTOLY GAZIPUR CITY CORPORATION, GAZIPUR |
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| Mobile Number | 01817508714 |
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| Payment Information | |
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| Date of Birth | 10/06/1976 |
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| Member Type | Lifetime Member |
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| National ID No. | 3259178642 |
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| Present Occupation | PRIVATE SERVICE |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01817508714 |
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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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