| Father Name | : | মৃত: ইন্তাজ উদ্দিন বিশ্বাস |
| Mother Name | : | |
| Birthday Date | : | |
| Religion | : | Islam |
| Gender | : | Female |
| Blood Group | : | |
| Nid No | : | |
| Phone Number | : | 01912146990 |
| IP/Telephone | : |
৩৪, হাড়িনাল, পোঃ গাজীপুর-১৭০০, থানা: সদর মেট্রো, জেলা: গাজীপুর।
| Membership Date | : | 02 Jul 2007 |
| Enrollment Date | : | |
| Member Category | : | General Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
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