Birth Example

OFFICE OF THE CHAIRMAN

NO. 5 DARIKANDI UNION PARISHAD

P. O.  Darikandi, P. S. Bancharampur, Dist. Brahmanbaria, Bangladesh.

 

Ref: 87/2007                                                                                            Date: 27/02/2007

 

BIRTH CERTIFICATE

(EXTRACT FROM REGISTER OF BIRTH RULE-21)

01.        EXTRACT SERIAL NUMBER                      : 25/2007

02.        REGISTRATION NUMBER                         : 12

03.        DATE OF REGISTRATION                        : 26/02/2007 

04.        DATE OF BIRTH                          : 27^TH MARCH, 1934

05.        PLACE OF BIRTH                                    : DARIKANDI IMAM NAGAR,

   P.S. BANCHARAMPUR, DIST. BRAHMANBARIA.

06.        NAME OF CHILD                                     : SALEHA KHATOON

07.        SEX                                                      : FEMALE

08.        FATHER’S NAME                                     : DUDU MIAH

09.        MOTHER’S NAME                                    : AMENA BEGUM

10.        GRANDFATHER’S NAME                           : AZGAR ALI

11.        FATHER’S ADDRESS                               : VILL. DARIKANDI IMAM NAGAR,

  P.S. BANCHARAMPUR, DIST. BRAHMANBARIA.

12.        RELIGION OF CHILD’S FATHER                 : ISLAM (SUNNY)

13.        NAME OF REPORTER OF BIRTH                : DUDU MIAH (FATHER)

14.        NATIONALITY                                         : BANGLADESHI BY BIRTH

THIS IS TO CERTIFY THAT THE ABOVE INFORMATION IS CORRECT AS PER BIRTH REGISTER MAINTAINED IN THIS OFFICE.

Compared by :

(ABDUL KARIM)

CHAIRMAN

 NO. 5 DARIKANDI UNION PARISHAD

P. O.  DARIKANDI, P. S. BANCHARAMPUR,

DIST. BRAHMANBARIA.