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| Full Name | Mohammad Saifullah Mirazul Alam |
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| Type | Student |
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| SSC Batch | 1990 |
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| Father's Name | Late Shamsul Alam |
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| Mother's Name | Sanowara Begum |
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| Email Address | mirazulalam@gmail.com |
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| Present Address | CSE Dept , Engg Faculty, BMA, Bhatiary,Chattogram |
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| Blood Group | A+ |
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| Occupational Address | BMA |
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| Permanent Address | Vill: Deotala , Union: Poroikora, Thana : Anowara,Chattogram |
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| Spouse Name | Ishita Hamid |
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| Mobile Number | 01769005103 |
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| Payment Information | |
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| Date of Birth | 04/09/1975 |
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| Member Type | General Member |
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| National ID No. | 1459913917 |
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| Present Occupation | Military Service |
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| Payment Option | bKash |
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| Sender Mobile Number | 01769005103 |
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| Membership fee (General) | 500 |
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| Transection Number | ALQ3MY841T |
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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. |