| | |
|---|
| |  |
|---|
| Full Name | Shikder Motasim Billah |
|---|
| SSC Batch | 2017 |
|---|
| Father's Name | Md. Hafizur Rahman |
|---|
| Present Address | 423/85, Road-05, Shimultoli, Gazipur-1703 |
|---|
| Blood Group | A+ |
|---|
| Occupational Address | North South University |
|---|
| Permanent Address | 423/85, Road-05, Shimultoli, Gazipur-1703 |
|---|
| Mobile Number | 01758800229 |
|---|
| Payment Information | |
|---|
| Date of Birth | 05/11/2001 |
|---|
| Member Type | General Member |
|---|
| National ID No. | 6014996034 |
|---|
| Present Occupation | Student |
|---|
| Membership fee (Lifetime) | 0 |
|---|
| Payment Option | bKash |
|---|
| Sender Mobile Number | 01758800229 |
|---|
| Membership fee (General) | 500 |
|---|
| Approved? (Admin-only) | |
|---|
| 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. |
|---|
