Birth Cetficate
(CCBDR Form-3A)
Peopleos Republic of Bangladesh
Office of the Registrar of Birth ancl Death
Dhaka Ci(v CorPoration
Dhaka Bangladesh
Birth Certificate
Rules, 2006]
[Rule-9, of Birth and Death Registration (City Corpore.tion)
(Extract from Birth Register)
Register No.
Dri
tc o f
2
:
Re gis t ra t io
n'.
-----
1-9- /72/-A-Z - - - - -
(dd rrn
o o I
Registratiorr No.
Personal Identification N c.
Name: 94O.
(Bf.
LA
[farc of Birrrr (.AD)
:
I
YY )
Birth
:
(t'l
(dd nlrn ))
o
t
€)
(dd mtn
o
o
('l
Sex
Eigfittecn
afl^{G$aL (ROAA,
Zorte
No:
--02----
Ttfineteen
flugust
6
B
y"v )
1
6
QS:
( sRc.t; fLoaR)01t/rLKJl-1100
: --9-[*lg-N
[flNAWi Ef, 9'L) Xl
_
QS:
_--N
Countrv
a
ti
at
onaI
iona
ILI[],
I
rdD. ,\,tA$t-{tLJ11
BCS (Aclmin)
Zonal Execlrtave Officer
Zane'2
Dhaka City Corporation
'a-gA4{:-t-0---
ity
;_Qg!!gk{-n_t_fr,
itv :P_glgk{:_*,
,7115rt'
(Signature and Nla,no
Seal of the I'-egistrar's Office
Fernale
S',Uaql9P-KA[5fi, AIS'I: eIqQJqUR.
City Corporation
QO:
mot. E
frun[ref
941,E
,I)ILL:
ff
:
)
ao: SoItA$aflL,
fllD. SOI{K4$
Motlr er's Name : !)tu
Perrnanent
3 o
7
digit)---.]!/-9!/1-2-S-l ----
Qttt:
No: -6-6-----
F'athcr's Name:
of Issue : ------- !2/1?/-9!-------
D.rte
{rtt ! {O S SA I I'l'
Prescnt Acldress :175/1,
Ward
I
9
(In rvords)
Place of
! 6
6