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| Full Name | Mr. Md. Jamal Uddin |
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| SSC Batch | 1988 |
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| Father's Name | Md. Joynal Abedin |
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| Present Address | 218, West Shantibagh, Shantinagar, Shahjahanpupr , Dhaka-1217 |
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| Blood Group | A+ |
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| Occupational Address | Plot-1-8, Road-01, Block-K,Section-2, Rupnagar-1A, Mirpur, Dhaka-1216 |
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| Permanent Address | Korobari, Post: Pirkashimpur,Muradnagar, Cumilla |
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| Mobile Number | 01711367096 |
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| Payment Information | |
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| Date of Birth | 01/05/1973 |
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| Member Type | General Member |
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| National ID No. | 1591905162656 |
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| Present Occupation | Private Job |
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| Payment Option | bKash |
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| Sender Mobile Number | 01711367096 |
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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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