| Father Name | : | |
| Mother Name | : | মোছাঃ নাছিমা বেগম |
| Birthday Date | : | 02 Jan 1982 |
| Religion | : | Islam |
| Gender | : | Male |
| Blood Group | : | B+ |
| Nid No | : | |
| Phone Number | : | |
| IP/Telephone | : |
ঢাকা রোড, নওগাঁ সদর, নওগাঁ, রাজশাহী
গাজীপুর সদর, গাজীপুর, ঢাকা
| Membership Date | : | 14 May 2019 |
| Enrollment Date | : | 21 Dec 2017 |
| Member Category | : | General Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
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