| Father Name | : | Badal Pathak |
| Mother Name | : | Sandha Pathak |
| Birthday Date | : | 01 Dec 1971 |
| Religion | : | Islam |
| Gender | : | Male |
| Blood Group | : | AB+ |
| Nid No | : | |
| Phone Number | : | 01957534102 |
| IP/Telephone | : |
নূরজাহান রোড, মোহাম্মদপুর, ঢাকা মহানগর, ঢাকা, ঢাকা
| Membership Date | : | 23 Apr 2026 |
| Enrollment Date | : | 15 Mar 2026 |
| Member Category | : | General Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
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