(Translated True Copy)
(UPJMONI FORM-3)
Government of the People’s Republic of Bangladesh
Office of the Registrar of Birth and Death
Shariatpur Pourshava
Shariatpur Sader, Shariatpur
BIRTH
CERTIFICATE
[Rule 9,
Rules of Birth & Death Registration (Union Parishad) 2006]
(Extract from the book of
birth registrar's)
Registration Book No.: 08|
Registration Date
|
06
|
06
|
2007
|
Date of Issue
|
05
|
12
|
2016
|
|
Date
|
Month
|
Year
|
Date
|
Month
|
Year
|
|
Private Identification No.
|
1
|
9
|
8
|
6
|
8
|
6
|
6
|
6
|
0
|
8
|
0
|
3
|
7
|
2
|
6
|
4
|
0
|
Name: Md
Shohag Khan
|
Date of Birth (A.D)
|
04
|
06
|
1986
|
Sex:
|
  |
Male
|
|
Female
|
|
Date
|
Month
|
Year
|
In Word:
Fourth June Ninteen Hundred Eighty Six
|
Place of Birth:
|
Swarno Ghose, Word No- 08
|
Father’s Name: Nurul Islam Nationality:
Bangladeshi
Mother’s Name: Rashida Begum Nationality:
Bangladeshi
Permanent Address: Village: Swarno Ghose,
Post office: Rajganj, Thana-Palong,
District-Shariatpur.
Present Address: Village: Swarno
Ghose, Post office: Rajganj, Thana-Palong,
District-Shariatpur.
Sd/illegible Sd/illegible
05.12.16 05.12.16
Md. Alamgir Hossain Khan Hossain Mohammad Alamgir
Sanitary Inspector Panal
Mayor-02
Shariatpur Pourshava Shariatpur Pourshava
Shariatpur Round
Seal Shariatpur
Sign & Seal
with name of writer Seal
of the Register's Office Sign
& Seal with name of Registrar
* First
Four Digit Person Date of birth, Next Seven digit Area Code & End Six digit
Serial Act.
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