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| Full Name | MD MAHFUZUR RAHMAN |
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| SSC Batch | 1996 |
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| Father's Name | MD ABDUR RASHID |
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| Present Address | SUBASHTI, PARK VIEW-1, FLAT-B5, ROAD-12, PLOT-119, NEAR PANCHALISH PASSPORT OFFICE, PANCHALISH, CHITTAGONG |
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| Blood Group | A+ |
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| Occupational Address | APOLLO IMPERIAL HOSPITALS, CHITTAGONG |
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| Permanent Address | HOLDING-261, VILL: NAGA, PO: BSMRAU, GAZIPUR |
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| Mobile Number | 01775480612 |
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| Payment Information | |
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| Date of Birth | 01/02/1981 |
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| Member Type | Lifetime Member |
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| National ID No. | 19818524904189477 |
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| Present Occupation | DOCTOR |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01775480612 |
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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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