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| Full Name | Ummay Salma |
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| SSC Batch | 1996 |
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| Father's Name | S.M Shafiullah Ul Mahmud |
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| Present Address | House-F-384, BOF, GAzipur Cantt, Gazipur-1703 |
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| Blood Group | O+ |
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| Occupational Address | Bangladesh Ordnance Factory |
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| Permanent Address | 261/9, Shantibag, Shimultoli, Gazipur City, Gazipur. |
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| Birth Certificate No. | 19803393324056694 |
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| Mobile Number | 01710066099 |
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| Payment Information | |
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| Date of Birth | 10/11/1980 |
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| Member Type | General Member |
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| National ID No. | 6859062900 |
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| Present Occupation | Govt. Service |
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| Membership fee (Lifetime) | 0 |
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| Payment Option | bKash |
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| Sender Mobile Number | 01710066099 |
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| Membership fee (General) | 500 |
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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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