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User Registration Form: Permanent Address

This document contains a user registration form for a prepaid mobile subscriber named Md. Shahidul Islam. It includes his personal details like name, national ID, date of birth, gender, address, email, nationality, occupation, father and mother's name. It also contains his student details like student name, roll number from SSC, registration number from SSC, board name, passing year and GPA from SSC. The form also notes his mobile number, SIM number, distributor's name, customer care details, date of registration and tracking number for official use.

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0% found this document useful (0 votes)
34 views

User Registration Form: Permanent Address

This document contains a user registration form for a prepaid mobile subscriber named Md. Shahidul Islam. It includes his personal details like name, national ID, date of birth, gender, address, email, nationality, occupation, father and mother's name. It also contains his student details like student name, roll number from SSC, registration number from SSC, board name, passing year and GPA from SSC. The form also notes his mobile number, SIM number, distributor's name, customer care details, date of registration and tracking number for official use.

Uploaded by

Anonymous KIUgOY
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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9/14/2015

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UserRegistrationForm

SubscriberType :Prepaid
SubscriberName :Md.ShahidulIslam
NationalID
:19934915217000138
DateofBirth
:05Nov1993

Gender :Male

PermanentAddress

FlatNo

HouseNo

RoadNo :

Village

:
Thana/Upazila :KurigramSadar District
Palashbari(Part)

:Kurigram

PostOfficeCode :5600
PresentAddress

FlatNo

:
HouseNo
:
RoadNo :
:
Village
Thana/Upazila :KurigramSadar District :Kurigram
Palashbari(Part)
PostOfficeCode :5600
Email
:[email protected]
Nationality
:Bangladeshi
Father'sName
:Md.AbulMonsur
Mother'sName
:SamsunnaharvBegum
Husband/SpouseName :
Occupation
:student
Relationshipwithsubscriber:

StudentName:MD.SHAHIDULISLAM
RollNumber[SSC]:139727
RegNumber[SSC]:806515
Board[SSC]:DINAJPUR
PassingYear[SSC]:2009
GPA[SSC]:5.00

Identifier

Name
PhoneNumber
NationalID

:Al.MuzahidiMohammedMahsudulHaque
:01747350804
:19946418694000132

InformationforOfficialUseOnly

MobileNumber
SIMNumber
Distributors'Name
CustomerCare
DateofRegistration
TrackingNumber:

:|0|1|5|0|1|_|_|_|_|_|_|
:
:Teletalk
:TeletalkCustomerCareCenter.[House#356,Newmarket
(SouthSide),StationRoad,Rajshahi,]
:14Sep2015
:14310629

http://agami.teletalk.com.bd/print.php?msisdn=139727&id=290590&tran_id=14310629

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