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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
Arif Mahamud Sagar
This is to certify that the family of the ……………. …….Consists of the following
members:

SL NO NAME RELATION DATE PRESENT PERMANENT


OF ADDRESS ADDRESS
BIRTH

01 ……………… FATHER … … …
110/3,Ideal School Road,
North Jatrabari, Ward-50 Saitpakia,Vairabpasha,Saitpaki
,Faridabad, a,
Md Sakhawat Hossain Nalchity, Jhalokhati, Barisal
Dhaka

02 ……………….. MOTHER … … …

Same
Mahmuda Yesmin Same

03 ……………… SON/DAUGHTER …. …. ……

10 Nov 1999
Same
Arif Mahamud Sagar Same

04 …………….. SON/DAUGHTER … … …

Same Same

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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