Bornomala SIM Registration Form
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User Registration Form
Subscriber Type
: Prepaid
Subscriber Name : Md.Hasan Khan
National ID
: 2918457527736
Date of Birth
: 10-Oct-1995
Gender : Male
Permanent Address
Flat No
House No
Village
: Basar Dangi Thana/Upazila : Sadarpur District
Post Office Code
: 7822
Road No :
: Faridpur
Present Address
Flat No
House No
Village
: Bhuigar Thana/Upazila
Post Office Code
: 1420
Road No :
: Futtala District
Email
:
Nationality
: Bangladeshi
Father's Name
: Md.Abdul Karim Khan
Mother's Name
: Most. Halima Begum
Husband/Spouse Name
:
Occupation
: student
Relationship with subscriber:
: Narayangonj
Student Name : MD. HASAN KHAN
Roll Number [SSC] : 491740
Reg Number [SSC] : 505896
Board [SSC]: DHAKA
Passing Year [SSC] : 2012
GPA [SSC] : 3.75
Identifier
Name
: Md.Abdul Halim Khan
Phone Number
: 01718896142
National ID
: 2918457527736
Information for Official Use Only
Mobile Number
SIM Number
Distributors' Name
Customer Care
Date of Registration
Tracking Number:
:|0|1|5| 0|1|_| _| _| _| _| _|
:
: Teletalk
: Palton Customer Care Center[ Surma Tower (1st Floor)59/2
Purana Palton, Dhaka ]
: 08-Jun-2015
: 315706
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08-Jun-15 6:57 PM
Bornomala SIM Registration Form
2 of 2
http://bornomala.teletalk.com.bd/print.php?msisdn=491740&id=315707&...
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08-Jun-15 6:57 PM