| | |
|---|
| |  |
|---|
| Full Name | F.M Atikullah |
|---|
| SSC Batch | 1999 |
|---|
| Father's Name | Md. Habibullah |
|---|
| Present Address | House-324-KA, Moubag, Shimultoli |
|---|
| Blood Group | A+ |
|---|
| Occupational Address | Jamuna Bank Ltd. Gazipur Chowrasta Branch, Gazipur |
|---|
| Permanent Address | House-324-KA, Moubag, Shimultoli |
|---|
| Mobile Number | 01723221162 |
|---|
| Payment Information | |
|---|
| Date of Birth | 11/03/1984 |
|---|
| Member Type | General Member |
|---|
| Present Occupation | Banker |
|---|
| Membership fee (Lifetime) | 0 |
|---|
| Payment Option | bKash |
|---|
| Sender Mobile Number | 01723221162 |
|---|
| 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. |