Governmnt of the People’s Republic of Bangladesh BDR Form-3

Office of the Brith and Death Registrar

Char Bhaga Union Parishad

Upazila: Bhedarganj
District: Shariatpur, Banladesh
Birth Registration Certificate
[ Note to reles 9 and 10 ]
( extracted from BR Book )
Register No. 15 Date of Issue: 02/03/2022

Date of Registration:02/03/2022

BR Number: 2 0 0 1 8 6 1 1 4 1 5 0 0 2 5 5 0

Name: MD RIPON KAZI

Date of Birth: 2 2 0 6 2 0 0 1 Sex: Male

In Word: 22 Jun, 2001 Order of Child: 1

Place of Birth: Shariatpur

Permanent Address: WEST MRIDHA KANDI CHARBHAGA

Char Bhaga, Bhedarganj, Shariatpur, Dhaka Division

Father’s Name: MD RAHIM ALI KAZI

Father’s BRN: 1968861141500255 Father’s Nationality: Bangladesh
Father’s NID: 861141500255

Mother’s Name: JAHANARA BEGUM

Mother’s BRN: 1965861141500255 Mother’s Nationality: Bangladesh
Mother’s NID: 861141500255

(Prepared by) (Signature and seal of the Registrar)

Seal of Registar Office (Verified by)