| CLUB: | Rotary club of Comilla Sunset |
| OCCUPATION: | Education College |
| IN DATE: | …………………. |
| DOB: | 02 Mar. |
| SPOUSE: | Mariam Sultana Maya |
| ADDRESS: | Maya Mension, Dewan Bari, Degree College Road, Dharmapur, Comilla-3500. |
| PHONE: | 01716833744 |
| E-MAIL: | ————— |
| CLUB: | Rotary club of Comilla Sunset |
| OCCUPATION: | Education College |
| IN DATE: | …………………. |
| DOB: | 02 Mar. |
| SPOUSE: | Mariam Sultana Maya |
| ADDRESS: | Maya Mension, Dewan Bari, Degree College Road, Dharmapur, Comilla-3500. |
| PHONE: | 01716833744 |
| E-MAIL: | ————— |