Release Letter
Name of the dead person: Forhad
Uddin (35)
Name of Father: Mohammed Jamal
Uddin Dhali
Village: Pachukhar Knadi
Police Station: Jajira
District: Shariatpur
Present Address: As above
Village:
Police Station:
District:
Reference: Shahbag police station
GD/ bad death case/ case no- 295, date- 05/01/2018 AD
I am S I Md Rabiul Islam ,
Shahbag police station, DMP, Dhaka therefore dated 05/01/2018 AD as per
application of the applicant mukkho/ ati:mukkho/ mohanagar hakim Mr ....................
giving back the dead body without post mortem in written order and officer in
charge Jajira, Shariatpur, officer in cahrge, Shahbag police station, DMP,
Dhaka as per approval and religious regulation for burying/ making funnerl
without post mortem investigation has been given returned without post mortem
investigation to the applicant/ relatives.
Submitted by
Sd/ Illegible
05/01/2018 AD
SI
Shahbag police station,
DMP, Dhaka
Mobile: 01718-652915
Shahbag police station,
DMP, Dhaka
Attested
Sd/ Illegible
27/02/2018 AD
Md Jafor Ali Biswas
BP- 7191010439
Police Inspector (Investigation)
Shahbag police station DMP Dhaka
Mobile: 01711-165665
(Seal)
I have received the dead body of
Mohammed Forhad Uddin without post mortem investigation.
Signature of relatives:
1. Md Liyakat Dhali (29)
|
2. Shilpi (31)
|
3. Sd/ Illegible
|
Relation: Younger brother of
dead person
|
Younger sister
|
Relation: Chairman
|
Father/ husband: Mohammed Jamal
Uddin Dhali
|
Father/ husband: Anowar Dhali
|
Father/ husband:
|
Village: Pachukhar Knadi
|
Village: Pachukhar Knadi
|
Village: Bilashpur UP
|
Police Station: Jajira
|
Police Station: Jajira
|
Police Station: Jajira
|
District: Shariatpur
|
District: Shariatpur
|
District: Shariatpur
|
Mob: 01757578255
|
Mob:
|
Mob: 01715012495
|
01715012495
Page No- 2
Bangladesh Form No- 804
Officer in charge, DMP, Dhaka
Shahbag police station
Death Certificate
Case no- 576/ 5416
Name: Mohammed Forhad Uddin
Father/ name of husband: Mohammed
Jamal Uddin Dhali
Address: Village: Pachukhar Knadi
Police Station: Jajira
District: Shariatpur
Age: 35, Male/ Female:
....................... Religion: ............................ Profession:
........................
Date of admission:
.............................. Time: ..................................
Date of death: 05/01/2018 AD
Time: ...............................................
Name of patient/ reason of death:
As the patient is taken to DMCH E/ R doctor declared him as death.
Police Inspector
Sd/ Illegible
Date: 05/01/2018 AD
Residential doctor/
assistant registrar
Department: Medical
Officer
Emergency
D.M.C.H
(Seal)
Hospital: D. M. C. H
Date: 05/01/2018 AD
Saidul Chowdhury
Cousin of dead person
Mob: 01710993713
Village- Bilashpur, Shafikazi
Moor,
Attested
Sd/ Illegible, 27/02/2018 AD
Md Jafor Ali Biswas
BP- 7191010439
Police Inspector (Investigation)
Shahbag police station DMP Dhaka
Mobile: 01711-165665
(Seal)
Take the lawfull steps S. I
Rabiul Islam.
Mob: 01718-652915
Shahbag police station
General diary no- 295
Date- 05/01/2018 AD, (Seal)
Sd/ Illegible
Date: 05/01/2018 AD
Duty Officer
Shahbag police station
DMP, Dhaka, (Seal)
Page No- 3
To,
Officer in charge
Shahbag police station
DMP, Dhaka
Date: 05/01/2018 AD
Application for getting dead body
without post mortem investigation.
Sir,
The sincere request to you is
that, I am Name of Md. Liyakat Ali Dhali, Father: Mohammed Jamal Uddin Dhali,
Village: Pachukhar Knadi, Police Station: Jajira, District: Shariatpur. There
is mentioned that, my elder sibling brother Mohammed Forhad Uddin (35) he is on
dated 05/01/2018 AD at around noon 2:30 min at time in Jajira police station
under that police station as was going in the place named Bilashpur by motor
cycle by himself suddenly a truck hit on him made fallen on the soil. Therefore
he has become seriously injured soon he has been taken to the local hospital
has been given him primary treatment there for the emergency treatment then he
has been taken to DMCH in the emergency department the officer in duty as
examined him on dated 05/01/2018 AD at around 6.30 he has been declared dead. Regarding
that death we do not have any complain. We have not made any complain and in
future we will not make any complain as well.
Therefore, the application to the
sir is that there is is in consideration to you sir that we can get the dead
body of my elder brother without post mortem investigation therefore.
Sincerely requested
Md. Liyakat Dhali
Father: Mohammed Jamal
Uddin Dhali
Relation: Younger
sibling brother of the dead person.
Signatures of the witnesses:
1. Mizanur Rhman
Father: Late Amin Uddin
Address: Village: East Sadardanga
Police station: Palong
District: Shariatpur
Relation: Blood related uncle of
the dead person.
Mob: 01712467597
2. Md. Borhan
Father- Mohammed Jamal Uddin
Dhali
Address: Village: Pachukhar Knadi
Police Station: Jajira
District: Shariatpur
Relation: Elder brother cousin of
the dead person.
Attested
Sd/ Illegible, 27/02/2018 AD
Md Jafor Ali Biswas
BP- 7191010439
Police Inspector (Investigation)
Shahbag police station DMP Dhaka
Mobile: 01711-165665
(Seal)
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