| |
---|
| |
---|
Full Name | Mohammad Gazi Zakir |
---|
SSC Batch | 1988 |
---|
Father's Name | Gazi Abdul Lafif |
---|
Present Address | 89-02,178, Stput, Jamaica, NY |
---|
Blood Group | AB+ |
---|
Occupational Address | La Guardia Ariport, Queens , New York, USA |
---|
Permanent Address | 452/10 ,ShantiBagh, Shimultoly, Gazipur-1703 |
---|
Mobile Number | +13474762024 |
---|
Payment Information | |
---|
Date of Birth | 31/12/1973 |
---|
Member Type | General Member |
---|
National ID No. | 78008323052 |
---|
Present Occupation | Service ( in USA) |
---|
Payment Option | bKash |
---|
Sender Mobile Number | +13474762024 |
---|
Membership fee (General) | 500 |
---|
Approved? (Admin-only) | |
---|
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. |