| Father Name | : | |
| Mother Name | : | শামসুন্নাহার বেগম |
| Birthday Date | : | 14 Apr 1969 |
| Religion | : | Islam |
| Gender | : | Male |
| Blood Group | : | |
| Nid No | : | |
| Phone Number | : | 01711324513 |
| IP/Telephone | : |
পিরুজালী, জয়দেবপুর, গাজীপুর
এফ-১২৫, উ:ছায়াবীথি, সদর মেট্রো, গাজীপুর
| Membership Date | : | 13 May 2013 |
| Enrollment Date | : | 06 Mar 2013 |
| Member Category | : | General Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
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