| Father Name | : | |
| Mother Name | : | মৃত: ফাতেমা বেগম |
| Birthday Date | : | 03 Jun 1958 |
| Religion | : | |
| Gender | : | Female |
| Blood Group | : | |
| Nid No | : | |
| Phone Number | : | 01716090199 |
| IP/Telephone | : |
গাজীপুর সদর, গাজীপুর, ঢাকা
| Membership Date | : | 12 Jan 2009 |
| Enrollment Date | : | 27 Sep 2008 |
| Member Category | : | General Member |
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate |
: |
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