| | |
|---|
| |  |
|---|
| Full Name | Major Md Nurul Haque |
|---|
| Type | Student |
|---|
| SSC Batch | 1987 |
|---|
| Father's Name | Late Imamul Haque |
|---|
| Present Address | 412, Shalna Rd, Shimultali, PO: BOF, Gazipur-1703 |
|---|
| Blood Group | O+ |
|---|
| Occupational Address | BIPSOT, Rajendrapur Cantt |
|---|
| Permanent Address | 412, Shalna Rd, Shimultali, PO: BOF, Gazipur-1703 |
|---|
| Mobile Number | 01707385852 |
|---|
| Payment Information | |
|---|
| Date of Birth | 01/09/1972 |
|---|
| Member Type | General Member |
|---|
| National ID No. | 7767198513 |
|---|
| Present Occupation | Govt Service |
|---|
| Payment Option | bKash |
|---|
| Sender Mobile Number | 01707385852 |
|---|
| 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. |