 
 
                                                            
| Father Name | : | মোঃ মুনসুর আলী | 
| Mother Name | : | মোসাঃ মরিয়ম আক্তার | 
| Birthday Date | : | 05 Dec 1982 | 
| Religion | : | Islam | 
| Gender | : | Male | 
| Blood Group | : | |
| Nid No | : | |
| Phone Number | : | 01915559926 | 
| IP/Telephone | : | 
গ্রাম: শৈলাট, পোঃ নিজমাওনা, থানা: শ্রীপুর, জেলা: গাজীপুর।
| Membership Date | : | 17 Jan 2011 | 
| Enrollment Date | : | 15 Dec 2010 | 
| Member Category | : | General Member | 
| Nominee Name | : | |
| Relation with Nominee | : | |
| Nominee NID/ Birth Certificate | : |