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| Full Name | Dr. Mosharof Hossain |
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| SSC Batch | 1998 |
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| Father's Name | Late. Abdul Malek |
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| Present Address | Mohammadpur, Nurjahan Road, Dhaka |
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| Blood Group | AB+ |
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| Occupational Address | Ibn Sina Hospital, Dhanmondi, Dhaka |
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| Permanent Address | Chayabag, Shimultoli, Gazipur |
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| Mobile Number | 01735048006 |
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| Payment Information | |
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| Date of Birth | 07/06/1983 |
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| Member Type | General Member |
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| National ID No. | 1909295196 |
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| Present Occupation | Doctor |
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| Payment Option | bKash |
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| Sender Mobile Number | 01735048006 |
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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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