DExSA

First Name*

Last Name*

Nickname

Email Address*

Phone Number(login credential)*

SSC Passing Year

Date of Birth

Blood Group*

Present Address

Home District*

Occupation*

Work Address

User Photo* (Recent passport or any ID photo, Max Size: 500KB, Size: 300px*300px)

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Screenshot of FaceBook Profile* (Clearly screenshot with school name, Max Size: 500KB)

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Password*

Confirm Password*

I hereby declare that the information provided by me above is true and correct to the best of my knowledge. I hereby sign this registration form to become a member of the Ex-Student's Association of Dhanmondi Govt. Boy's High School Dhaka, Bangladesh (DExSA).

I Agree With The Terms And Condition, Refund Policy and Privacy Policy

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