Get BIRTH CERTIFICATE

(Translated True Copy)

(UPJMONI FORM-3)

People’s Republic of Bangladesh

Office of the Registrar of Birth and Death

No.02, Pathoir Union Parishad

Upazila: Kachua, Dist.: Chandpur

BIRTH CERTIFICATE

(Collecting within book of birth register)

Registration Book No.:    05

Registration Date	15	09	2007	Date of Issue	17	12	2007
	Date	Month	Year		Date	Month	Year

Private Identification No.

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Name: SHANTA KHAN

Date of Birth (A.D)	07	11	1997	Sex:		Male	P	Female
	Date	Month	Year

In Word: Seventh November Nineteen Hundred Ninety Seven

Place of Birth: Village-Bordowel, Union- No. 02 Pathoir, Thana-Kachua, District-Chandpur

Father’s Name: Jafor Ali                                                                        Nationality: Bangladeshi

Mother’s Name: Parul Begum                                                                Nationality: Bangladeshi

Permanent Address:       Village-Bordowel, Post- Bordowel, Upazila-Kachua, District-Chandpur

                                                                                                                        Sd/illegible

                                                                                                                               

                                                                                                              Md. Mostofa Sorif Titu

                                                                                                                         Chairman

                                                                                                          No. 02 Pathoir Union Parishad

                                                                                                                   Kachua, Chandpur

Sign & Seal with name of writer                                                         Sign & Seal with name of Registrar

                                                                   Round Seal

                                                       Seal of the Register's Office