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| Full Name | Md. Rafiul Islam |
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| SSC Batch | 2004 |
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| Father's Name | Golam Mostofa |
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| Present Address | Vill: Khaduli, P.O.- Khaduli, P.S.- Ullahpara, Dist.- Sirajgonj |
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| Blood Group | B+ |
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| Occupational Address | Tamai Branch, Sirajgonj |
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| Permanent Address | Vill: Khaduli, P.O.- Khaduli, P.S.- Ullahpara, Dist.- Sirajgonj |
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| Mobile Number | 01717799109 |
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| Payment Information | |
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| Date of Birth | 20/10/1988 |
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| Member Type | General Member |
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| National ID No. | 1455115699 |
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| Present Occupation | Senior Officer, Janata Bank PLC |
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| Payment Option | bKash |
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| Sender Mobile Number | 01717799109 |
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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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