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| Full Name | Md Liakat Hossain |
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| SSC Batch | 1993 |
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| Father's Name | Md Yousuf ALi |
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| Present Address | 5/1, Block-4, Lalmatia, Mohammadpur, Dhaka-12 |
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| Blood Group | A+ |
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| Occupational Address | 5/1, Block-4, Lalmatia, Mohammadpur, Dhaka-12 |
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| Permanent Address | 283/1, West Vurulia, Gazipur sadar, gazipur |
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| Mobile Number | 01872313131 |
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| Payment Information | |
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| Date of Birth | 01/03/1979 |
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| Member Type | General Member |
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| National ID No. | 7333560014 |
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| Present Occupation | Business |
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| Payment Option | bKash |
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| Sender Mobile Number | 01872313131 |
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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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