| Father Name | : | আঃ কুদ্দুছ |
| Mother Name | : | নূরজাহান |
| Birthday Date | : | 02 Jan 1962 |
| Religion | : | Islam |
| Gender | : | Male |
| Blood Group | : | B+ |
| Nid No | : | |
| Phone Number | : | 01913385718 |
| IP/Telephone | : |
রাওনাট, পোঃ রাওনাট, কাপাসিয়া, গাজীপুর, ঢাকা
62/1, উত্তর রাজবাড়ী, পানির টাংকি, , গাজীপুর সদর, গাজীপুর, ঢাকা, ১৭০০
| Membership Date | : | 22 Apr 1989 |
| Enrollment Date | : | 03 Apr 1989 |
| Member Category | : | Life Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
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