| Particular | Description |
|---|---|
| Member ID | 13498 |
| Member Category | General Member |
| Father's Name | LATE GOLAM ALI KHAN |
| Blood Group | A- |
| Gender | Male |
| Birthday | 5-Mar-73 |
| Date of Join | 8-Jun-10 |
| Date of Enrolment | 8-Dec-09 |
| Present Address | 275, College Avnue, College More, Bishow Road, Maddo Chand Kati, Jhalakati. Dist: Jhalakati. Phone: 01673711764 |
| Permanent Address | , , , , , |