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| Full Name | Dr. Mohammad Anamul Haque |
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| SSC Batch | 1992 |
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| Father's Name | Mohammad Amir Uddin Dorzee |
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| Present Address | House-115/1 (KA), Noagaon, Ward-28, Gazipur City Corporation |
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| Blood Group | O+ |
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| Occupational Address | Assitant Professor (ENT), Shahid Tajuddin Ahmed Medical College Hospital, Gazipur. |
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| Permanent Address | Dorzee Bari, hatiab, P.O.- BOF, Ward-23, Gazipur City Corporation. |
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| Mobile Number | 01711902098 |
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| Payment Information | |
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| Date of Birth | 01/01/1976 |
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| Member Type | General Member |
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| National ID No. | 1943984334 |
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| Present Occupation | Doctor (ENT Specialist) |
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| Payment Option | bKash |
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| Sender Mobile Number | 01711902098 |
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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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