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| Full Name | MD Azizul Haque Mithu |
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| SSC Batch | 1991 |
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| Father's Name | Imamul Haque |
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| Present Address | House 412, Shalna Road, Shimultoly, Gazipur-1703 |
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| Blood Group | O+ |
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| Occupational Address | Habib Complex, Shimultoli |
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| Permanent Address | House 412, Shalna Road, Shimultoly, Gazipur-1703 |
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| Mobile Number | 01716443196 |
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| Payment Information | |
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| Date of Birth | 15/03/1978 |
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| Member Type | Lifetime Member |
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| National ID No. | 7759159465 |
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| Present Occupation | Excutive Director, Golf Inn |
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| Membership fee (Lifetime) | 5000 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01716443196 |
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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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