GOVERNMENT OF THE PEOPLES REPUBLIC OF BANGLADESH OFFICE OF THE 5

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GOVERNMENT OF THE PEOPLES REPUBLIC OF BANGLADESH OFFICE OF THE 5 Powered By Docstoc
					                                                                                  BR Form-3

                 People’s Republic of Bangladesh
                    Office of the Registrar of Birth and Death
                   _________________ Union Parishad
                      Upazila-____________, Dist-____________
                                          Bangladesh


                             BIRTH CERTIFICATE
                                   (From Registration Book)

Registration Book No : 00

Registration Date                                      Date of Issue
                      Date        Month    Year                        Date Month     Year
Registration No
Personal Identity Book No :

Name :

Date of Birth (A.D)
                          Date     Month    Year
                                                       Sex             Male        Female


In Word :

Place of Birth        :      Vill : _____________, Union : ___________,
                             Upazila : _____________, Dist : ________________.

Father’s Name         :                                        Nationality : Bangladeshi

Mother’s Name         :                                        Nationality : Bangladeshi

Present Address       :      .

Permanent Address     :




     Prepared by
                                                               Sign of Register with Seal
    (Name & Seal)

                                 Seal, office of the Register

				
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