People's Republic of Bangladesh
Office of the Registrar, Birth and Death Registration
XXXXXXXX Union Parishad No. 8
Upazila: XXXXXX, District: Moulvibazar, Bangladesh
Birth Certificate
[Rule-9, Birth and Death Registration (Union Parishad) Rules, 2006]
(Extracted from Birth Register Book)
Register book No. | 09 |
Date of registration: 28/2/12 Date of issuance: 28/2/12
d m y d m y
Registration No: | 0 | 1 | 4 | 6 | 0 | 2 |
Personal Identity No: | 1 | 9 | 9 | 2 | 5 | 8 | - | 7 | 4 | 5 | - | 0 | 1 | 4 | 6 | 0 | 2 |
Name: XXXXXX XXXXXXXXXXXXX
Date of birth: In number (AD) : 15-05-1992 Gender: √□ Female □ Male
In words (AD): May Fifteen, Nineteen Hundred and Ninety Two.
Place of birth: Village- Buddhi Mantapur Ward No. 3 Union: Kanakpur
Post Office- Buddimantapur Upazila- Moulvibazar District- Moulvibazar Country: Bangladesh
Father's name: XXXXXX XXXXXX Chowdhury Nationality: Bangladeshi
Mother's name: XXXXX Sultana Nationality: Bangladeshi
Permanent Address: Village- Buddhi Mantapur Ward No. 3 Union: Kanakpur
Post Office- Buddimantapur Upazila- Moulvibazar District- Moulvibazar Country: Bangladesh
[Signature/ illegible] Date: 28/2/12 (Seal of the office of the registrar) [Seal/ Office of the registrar, birth and death registration* Kanakpur Union Parishad No. 8, Sadar, Moulvibazar*] | [Signature/ illegible] Date: 28/2/12 [Seal/ Secretary Kanakpur Union Parishad No. 8, Sadar, Moulvibazar] | [Signature/ illegible] 28/2/12 (Registrar's signature and seal with name) [Seal/ (Md. Mamunur Rashid Chowdhury) Registrar Birth and death registrar Kanakpur Union Parishad No. 8, Sadar, Moulvibazar] |
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