Zahir Ahmed

People’s Republic of Bangladesh

Office of The Registrar of Births and Deaths.

[Monogram] Laksam Municipality

Laksam, Comilla.

Phone: 08032-51365. Fax: 08032-5123.

Birth Certificate

(Extract from Birth Register Book)

Register Book Number: 601             Date of Issue: Day-Month-Year.

Date of Registration: Day-Month-Year.

Personal Identification Number (PIN): 19811928306084951

Name: ZahirAhmed

Date of Birth: (in digit): Day-Month-Year.                                 Sex: Male- Female

                        (In Words): First January Nineteen Eighty One.

Place of Birth:-

            Area: Batakhali                         Ward number: 06

            Laksam Municipality                             Police Station: Laksam

            District: Comilla                                    Country: Bangladesh

Father’s Name: Sultan Ahmed                          Nationality: Bangladeshi

Mother’s Name: Nurbanu                                             Nationality: Bangladeshi

Permanent Address:-

            Area: Batakhali

            Ward number: 06                                             Holding Number: 1016

            Post office: Pachimgong                                    Police Station: Laksam

            District: Comilla                                                Country: Bangladesh

Signature/Illegible                                                          Signature Illegible

06/06/2011

(Mohammed Saifur Rob)                                              (Md. Mofizur Rahman)

Sanitary Inspector                                                         Mayor

Laksam Municipality                                                     Laksam Municipality

Laksam, Comilla.                      (Round Seal)                Laksam, Comilla

Bangladesh                                                                   Bangladesh

(By seal)                                                                       (By Seal)