| CLUB: | Rotary Club of Barura Central |
| OCCUPATION: | Business |
| IN DATE: | —————- |
| DOB: | —————- |
| SPOUSE: | —————- |
| ADDRESS: | Barura, Comilla. |
| PHONE: | 01815-464640 |
| E-MAIL: | —————– |
| CLUB: | Rotary Club of Barura Central |
| OCCUPATION: | Business |
| IN DATE: | —————- |
| DOB: | —————- |
| SPOUSE: | —————- |
| ADDRESS: | Barura, Comilla. |
| PHONE: | 01815-464640 |
| E-MAIL: | —————– |