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Government of the People’s Republic of Bangladesh

Office of the Chairman


……………..union parishad
P/S………., Dist……………, Bangladesh

Ref: Date:
Family Certificate
This is to certify that the family of the ……………. …….Consists of the following
members:

SL NO NAME RELATION DATE PRESENT PERMANENT


MOHAMMED DILUWAR OF ADDRESS ADDRESS
HUSSOIN BIRTH
VILL: RAHMAN NAGAR,
BAIRAGIBAZAR
,BISHWANATH, SYLHET

01 ……………… FATHER … … …

Keep

02 ……………….. MOTHER … … …
MOHAMMED
DILUWAR

03 ……………… SON/DAUGHTER …. …. ……

04 …………….. SON/DAUGHTER … … …

They are Bangladeshi by birth and well known to me.

I wish them bright and happy future.

Sign & Name of the Chairman

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