| CLUB: | Rotary Club of Tangail City |
| OCCUPATION: | Business |
| IN DATE: | —————— |
| DOB: | 10 Sep. |
| SPOUSE: | Taslima Akter |
| ADDRESS: | Noyantala, Barura, Comilla. |
| PHONE: | ——————— |
| E-MAIL: | —————— |
| CLUB: | Rotary Club of Tangail City |
| OCCUPATION: | Business |
| IN DATE: | —————— |
| DOB: | 10 Sep. |
| SPOUSE: | Taslima Akter |
| ADDRESS: | Noyantala, Barura, Comilla. |
| PHONE: | ——————— |
| E-MAIL: | —————— |