(Form- 3)
Government People’s Republcan Bangladesh
Death and Birth
Registration Office
Matuael Union
Parishad
Sub- district:
Jatrabari, District: Dhaka ,
Bangladesh
Birth
Certificate
Regulation 9, Death
and Birth Registration (Union Parishad) Regulation 2005
Registration Book No: 002 Date
of Registration: 5/ 7/ 07
Certificate Issue Date: 5/ 7/ 07 Registration Number:
08534
Personal Identification Number: 261280194908634
Name: Md.
Abu Taher
Date of Birth: 30/ 01/ 1949 Sex:
Male
In words: Thirty/ One/ Nineteen Forty Nine
Birth Place: Village: Muzahidnogor, Union :
Matuael,
Sub- district: Shampur, District: Dhaka ,
Country: Bangladesh
Name of Father: Abdur Rahman, Nationality: Bangladeshi
Name of Mother: Amena Khatoon, Nationality: Bangladeshi
Permanent Address: Village: Muzahidnagor( Rayer Bug), Post
Office: Habib Nagor, Police Station: Shampur, District: Dhaka
Sd/ Illegible
Abdul Jalil Mia
Secretary
Matuael Union Parishad
Jatrabari, Dhaka .
Name and Signature of Prepared Person (Seal)
Seal of Office
Sd/ Illegible
Md. Shariful Islam Khan
Chairman in Charge
Matuael Union Parishad
Jatrabari, Dhaka .
Name and signature of
registry
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