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| Full Name | Md. Shafiz Uddin |
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| SSC Batch | 1982 |
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| Father's Name | Abul Hashem |
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| Present Address | 417/1, Shimultoli, P.O.- BOF, Gazipur Sadar, Gazipur-1703. |
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| Blood Group | B+ |
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| Occupational Address | Deputy General Manager, Sonali Bank PLC, Principal Office, Gazipur. |
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| Permanent Address | Vill: Pajulia, P.O.- BOF, Gazipur Sadar, Gazipur-1703. |
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| Mobile Number | 01711453875 |
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| Payment Information | |
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| Date of Birth | 01/06/1967 |
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| Member Type | Lifetime Member |
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| National ID No. | 6858192849 |
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| Present Occupation | Govt. Service |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01711453875 |
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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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