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| Full Name | Tanjila Azad |
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| SSC Batch | 1991 |
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| Father's Name | Md. Sharif Uddin Mia |
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| Present Address | House-404, Tayabaloy, Monir Chemical, DUET, Gazipur |
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| Blood Group | O+ |
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| Occupational Address | Shinepukur Ceramics Ltd. |
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| Permanent Address | House-404, Tayabaloy, Monir Chemical, DUET, Gazipur |
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| Mobile Number | 01716644096 |
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| Payment Information | |
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| Date of Birth | 07/05/1975 |
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| Member Type | Lifetime Member |
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| National ID No. | 2808267138 |
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| Present Occupation | Service Holder |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01716644096 |
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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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