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| Full Name | Md. Shamsul Alam |
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| SSC Batch | 1978 |
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| Father's Name | Md. Azizur Rahman |
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| Present Address | House-06, Road-11, Sector-14, Uttara, Dhaka-1230 |
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| Blood Group | O+ |
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| Occupational Address | Uttara, Dhaka-1230 |
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| Permanent Address | Panchuria, Lohagora, Narail |
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| Mobile Number | 01718115540 |
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| Payment Information | |
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| Date of Birth | 17/11/1963 |
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| Member Type | Lifetime Member |
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| National ID No. | 5982124736 |
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| Present Occupation | Govt Service (Retd.) |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01718115540 |
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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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