| Father Name | : | Late Noor Mohammad |
| Mother Name | : | |
| Birthday Date | : | 24 Sep 1964 |
| Religion | : | Islam |
| Gender | : | Male |
| Blood Group | : | AB+ |
| Nid No | : | |
| Phone Number | : | 01715398103 |
| IP/Telephone | : |
উত্তর ছায়াবিথী, গাজীপুর সদর, গাজীপুর, ঢাকা, ১৭০০
শহিদ নগর, গফরগাঁও, ময়মনসিংহ, ময়মনসিংহ
| Membership Date | : | 31 Aug 2025 |
| Enrollment Date | : | 16 Jun 2016 |
| Member Category | : | General Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
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