English Translated Version of the Original in Bengali BRC Form-3

People’s Republic of Bangladesh

Office of the Registrar of Birth and Death
Banwarinagar Union Paridhad
Faridpur, Pabna, Bangladesh

Birth Certificate
(Copy from the Birth Registration Book)

Registration Book No :

Registration Date: Certificate Issue

Date:
Day Month Year
Day Month Year

Registration No:

Personal Identification No:

Name: MD. MARUF RAHMAN

Date of Birth: in number (AD) : 13– 09- 1988 Gender: Female

Male
In word (AD) : Thirteen September Nineteen Hundred & Eighty Eight
Place of Birth: Village- Motherjani, 03 No. Ward, UP- Banwarinagar
Upazila- Faridpur, District- Pabna

Father’s Name: MD. SABBIR RAHMAN Nationality: BANGLADESHI

Mother’s Name: MUNA SULTANA Nationality: BANGLADESHI

Permanent Address: Village- Motherjani, UP- Banwarinagar

Upazila- Faridpur, District- Pabna

(Signature, Name &Seal of the person Prepared) (Signature, Name & Seal of
the Registrar)

28 / 04 / 2011 28 / 04 / 2011
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