| Father Name | : | |
| Mother Name | : | অনিতা রাণী দাস |
| Birthday Date | : | 05 Feb 1991 |
| Religion | : | Hindu |
| Gender | : | Male |
| Blood Group | : | B+ |
| Nid No | : | |
| Phone Number | : | 01714589518 |
| IP/Telephone | : |
গজারিয়া, শেখেরগাঁও, মনোহরদী, নরসিংদী, ঢাকা
ডি-১৬৯, মধ্যপাড়া, গাসিক, সদর মেট্রো, গাজীপুর সদর, গাজীপুর, ঢাকা
| Membership Date | : | 27 Jun 2016 |
| Enrollment Date | : | 14 May 2016 |
| Member Category | : | General Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
: |
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