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| Full Name | Md. Mofazzal Hossain |
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| SSC Batch | 1991 |
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| Father's Name | Md. Abdur Rashid Sarker |
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| Present Address | Vill: Vanua, P.O.- BOF, P.S.- Gazipur Sadar, Dist.- Gazipur |
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| Blood Group | AB+ |
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| Permanent Address | Vill: Vanua, P.O.- BOF, P.S.- Gazipur Sadar, Dist.- Gazipur |
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| Mobile Number | 01988629612 |
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| Payment Information | |
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| Date of Birth | 14/07/1975 |
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| Member Type | General Member |
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| National ID No. | 1909170761 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01988629612 |
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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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