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| Full Name | KHURSHED BANA |
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| SSC Batch | 1978 |
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| Father's Name | MD FOYEZ AHMED |
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| Present Address | BIDC, SOUTH CHATAR, HOUSE NO611/1, GAZIPUR |
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| Blood Group | AB+ |
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| Permanent Address | BIDC, SOUTH CHATAR, HOUSE NO611/1, GAZIPUR |
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| Mobile Number | 01933645973 |
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| Payment Information | |
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| Date of Birth | 28/03/1963 |
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| Member Type | Lifetime Member |
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| National ID No. | 1459118632 |
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| Present Occupation | HOUSE WIFE |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01933645973 |
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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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