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| Full Name | MOAZZAM HOSSAIN |
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| SSC Batch | 1980 |
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| Father's Name | MOHAMMAD HOSEN |
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| Present Address | D-127, AUTPARA, WARD-16, BASON, GAZIPUR SADAR |
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| Blood Group | O+ |
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| Permanent Address | D-127, AUTPARA, WARD-16, BASON, GAZIPUR SADAR |
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| Mobile Number | 01711901755 |
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| Payment Information | |
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| Date of Birth | 11/09/1963 |
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| Member Type | Lifetime Member |
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| National ID No. | 3313023015915 |
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| Present Occupation | DIRECTOR WATER |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01711901755 |
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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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