Sample of DEATH CERTIFICATE

Bismillahir Rahmanir Rahim

(Monogram)       KHAGKANDA UNION PARISHAD

Araihazar, Narayangonj.

Md. Mozammel Hoque

Chairman

Ref. No.                                                                         Dated: 19/09/2005

DEATH CERTIFICATE

This is to certify that Late Qazi Sirazul Haque son of Late Qazi Yakub Ali of Village-Khagkanda, Post Office-Noinabad, Upazila-Araihazar, District-Narayangonj. So far my knowledge he was died in 16/03/2004.

I wish him soul success.

Sd/- Illegible

19/09/2005

Md. Mozammel Hoque

Chairman

Khagkanda Union Parishad

Araihazar, Narayangonj.