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| Full Name | Md. Mostafizur Rahman Mintu |
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| SSC Batch | 1988 |
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| Father's Name | Late. Md. Motiur Rahman |
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| Present Address | House-149, Bagolbari, Block-B, P.O.- BSMRAU, P.S.- Gazipur Sadar, Dist-Gazipur. |
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| Blood Group | B+ |
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| Occupational Address | Daskin Trade & Distributors Co. Ltd. |
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| Permanent Address | House-149, Bagolbari, Block-B, P.O.- BSMRAU, P.S.- Gazipur Sadar, Dist-Gazipur. |
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| Birth Certificate No. | 19722692511412722 |
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| Mobile Number | 01818160988 |
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| Payment Information | |
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| Date of Birth | 31/12/1972 |
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| Member Type | Lifetime Member |
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| National ID No. | 8221768503 |
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| Present Occupation | Service |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01818160988 |
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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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