BDR form- 3

PEOPLE'S REPUBLIC OF BANGLADESH

8 NO MOLLAH
Office of theKANDI UNION
Birth and Death PARISAD
Registrar
POST: CHARDOMURIA, UPOZILLA- MUNSHIGONJ SODAR,
Nasirabad Union Parisad
DIST- MUNSHIGONJ
Upazila: Khilgaon, District: Dhaka, Bangladesh
Birth Certificate
SUB:
Registration Date: 09/02/2011 UNMARRIED
09/02/2011 CERTIFICATE
[Rule-9, of birth and death Registration (Union Parishad) Rules, 2006]
[Extract form Birth Register]
SL NO. DATE : .....................

(dd mm yy)

This is to certify that TANJA

In Word: KHAN,NINTEEN
SIX ELEVEN Father'sHUNDRED
Name: Late Monir
EIGHTY TWOKhan, Mother's Name:
Doli Khan, Vill.: Anandapur, Ward No. : 09, Post: Pura Bazar, Upozilla : Munshigonj,
Dist. Munshigonj. She is personally known to me & Bangladeshi by birth. To the best
of my knowledge she did not take part in any activity subversive of the state or of
discipline, she is still unmarried person and working in abroad. Her date of birth is
20.03.1987.

I wish her every success in life.

Prepared by: Signature & Name with Seal Azizur

Seal of the Office Signature & Name of Rahan
Registrar with SealMollik
Chairman
Mollah Kandi Union Parisad

UPBDR Form- 3A
PEOPLE'S REPUBLIC OF BANGLADESH
Office of the Registrar of Birth and Death
MUSAPUR UNION PARISAD
Upazila: Bandar, Dist. Narayangonj
[Rule-9, of birth and death Registration (Union Parishad) Rules, 2006]
[Extract form Birth Register]

BIRTH CERTIFICATE Jomoni Form- 3

Government of Bangladesh
Birth & Death Nibondhan Unit