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| Full Name | Md. Mutashim Billah |
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| SSC Batch | 2004 |
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| Father's Name | Late. Anisur Rahman |
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| Present Address | 418/2, Sayabag, Shimultoly, Gazipur |
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| Blood Group | B+ |
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| Occupational Address | Sonali Bank PLC, Shafipur Ansar Academy Comples Br. Gazipur |
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| Permanent Address | VIll: Pumbail, P.O.-Iswargonj, P.S.- Gouripur, Dist.- Mymensingh |
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| Mobile Number | 01922919191 |
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| Payment Information | |
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| Date of Birth | 02/01/1988 |
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| Member Type | General Member |
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| National ID No. | 8209122244 |
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| Present Occupation | Senior Officer, Sonali Bank PLC |
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| Payment Option | bKash |
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| Sender Mobile Number | 01922919191 |
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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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