Birth Registration Certificate

PEOPLE’S REPUBLIC OF BANGLADESH

Form - 3

OFFICE OF THE REGISTRAR OF BIRTHS AND DEATHS

1 NO. SATPOSA UNION PARISHAD

UPAZILA: SARISABARI, DISTRICT: JAMALPUR, BANGLADESH.

Registration Book No.					BIRTH CERTIFICATE Section 9, Birth & Death Registration (Union Parishad) Rules, 2005 (Extract from the Birth Registration Book)	Date of Certificate Issue:     /    /  Day /Month /Year
			(6)

Date of Registration:

       /    /     

Day /Month/Year

Registration No. :

Personal Identity No. :

Name               : MD. FERDOUS ALAM

Date of Birth     : In Figure (AD): 14/2/1974                              Sex : Male 

                          In Word (AD): 14^th February Nineteen Hundred & Seventy Four.

Place of Birth    : Vill. Char Roha                                              Union:  1 No. Satposa   

Upazila : Sarisabari                                                       Dist. Jamalpur,          Country : Bangladesh

Father's Name : MD. ZAHURUL ALAM                              Nationality: Bangladeshi

Mother's Name: MST. FIROZA BEGUM                             Nationality: Bangladeshi

Permanent Address: Vill. Char Roha, P.O. Chataria, Sarisabari, Dist. Jamalpur.