| Father Name | : | |
| Mother Name | : | নূরুন্নাহার |
| Birthday Date | : | 24 Dec 1981 |
| Religion | : | Islam |
| Gender | : | Male |
| Blood Group | : | |
| Nid No | : | |
| Phone Number | : | 01712208292 |
| IP/Telephone | : |
সি-৩২, দক্ষিণ ছায়াবীথি, গাজীপুর সদর, গাজীপুর, ঢাকা
সি-৩২, দক্ষিণ ছায়াবীথি, গাজীপুর সদর, গাজীপুর, ঢাকা
| Membership Date | : | 30 Sep 2013 |
| Enrollment Date | : | 06 Apr 2013 |
| Member Category | : | General Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
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