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| Full Name | Palash Chandra Mallick |
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| SSC Batch | 1998 |
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| Father's Name | Khagendra Chandra Mallick |
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| Present Address | House-214/2, West Chatar, Gazipur Sadar Metro, Gazipur-1703. |
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| Blood Group | A+ |
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| Occupational Address | House-67, Block-KA, P/C Culture Society, Shayamoli, Dhaka-1207 |
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| Permanent Address | House-214/2, West Chatar, Gazipur Sadar Metro, Gazipur-1703. |
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| Mobile Number | 01711976466 |
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| Payment Information | |
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| Date of Birth | 15/11/2023 |
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| Member Type | General Member |
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| National ID No. | 1909105882 |
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| Present Occupation | Journalist |
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| Payment Option | bKash |
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| Sender Mobile Number | 01711976466 |
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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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