(UPBDR Form-3)
People’s Republic of Bangladesh
Office of the Registrar of Birth and Death
Number - 10Amishapara, Union Council
Police Station- Sonaimuri, District- Noakhali, Bangladesh.
BIRTH CERTIFICATE
[Rule-9, of Birth and Death Registration (Union Council) Rules-2006]
(Extract from Birth Registrar)
Register Number
Date of Registration- 12 /09 /2007
Date, Month, Year
Date of Issue- 04/ 07/ 2011
Date, Month, Year
Personal Identification Number
Name : RazuAhmmad
Date of Birth : (AD)(In digit):- 29/07/1993 Sex:- Female / Male
Date/Month/Year
(In words) :Twenty Nine July Nineteen Ninety Three
Place of Birth : Village- Krisnopur Union- Number- 10Amishapara
Police Station- Sonaimuri District: Noakhali Country- Bangladesh
Father’s Name : MohammadUllah Nationality: Bangladeshi
Mother’s Name : JakiyaKhatun Nationality: Bangladeshi
Permanent Address: Village- Krisnopur, Post Office- EidGahAminbazar
Police Station- Sonaimuri, District- Noakhali, Country- Bangladesh
Signature/-Illegible
5-8-11
AbulKhair
Chairman
Number- 10Amishapara Union Council
Sonaimuri, Noakhali
Seal of the Registrar Office (Signature and Name of Registrar with seal)
Government of the People’s Republic of Bangladesh.
[Monogram] Office of the Chairman
Number- 10,Amishapara Union Council
Post Office- Amishapara, Police Station- Sonaimuri, District- Noakhali
[Nationality & Character]
Date- 05/08/11
This is to certify that, RazuAhmed, Son of- MohammadUllah & JakiyaKhatun, Village- Krisnopur, Post Office- EidGahAminbazar, Police Station- Sonaimuri, District- Noakhali, is a permanent resident of this Union and Bangladeshi National by birth. he is personally known to me. He bears a good moral character. As far I know is not engaged in any activity subversive against the state or of discipline.
I wish all his success in life.
Signature- Illegible
5/08/11
Abul Khair
Chairman
Number- 10Amishapara Union Council
Sonaimuri, Noakhali
[Round Seal]
