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| Full Name | Dr. S.M Monowar Hossain (Rubel) |
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| SSC Batch | 1991 |
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| Father's Name | SK. Md. Abul Hossain |
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| Present Address | 401/3, Monir Chemical Road, DUET, Gazipur |
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| Blood Group | A+ |
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| Occupational Address | Impulse Hospital, Tejgaon, Dhaka |
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| Permanent Address | 401/3, Monir Chemical Road, DUET, Gazipur |
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| Mobile Number | 01755683452 |
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| Payment Information | |
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| Date of Birth | 31/12/1975 |
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| Member Type | General Member |
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| National ID No. | 3258271893 |
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| Present Occupation | Doctor |
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| Payment Option | bKash |
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| Sender Mobile Number | 01755683452 |
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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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