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| Full Name | Mohammad Gazi Kamal Hossain |
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| SSC Batch | 1991 |
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| Father's Name | Gazi Abdul Latif |
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| Present Address | 452/10 SantiBag, Shimultoly, Gazipur-1703 |
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| Blood Group | AB+ |
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| Occupational Address | 452/10 SantiBag, Shimultoly, Gazipur-1703 |
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| Permanent Address | 452/10 SantiBag, Shimultoly, Gazipur-1703 |
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| Mobile Number | 01704720435 |
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| Payment Information | |
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| Date of Birth | 01/02/1977 |
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| Member Type | General Member |
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| National ID No. | 5068268373 |
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| Present Occupation | Service |
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| Payment Option | bKash |
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| Sender Mobile Number | 01704720435 |
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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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