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Government of the people’s republic of Bangladesh BRD Form -3

Office of Birth and Death Register
zone- 4, Dhaka North City Corporation
City Corporation: Dhaka North City Corporation
District: Dhaka, Bangladesh
Birth Registration Certificate
[ Note to rules 9 and 10 ]
(extracted from BR Book)
Register No. 201 Date of Issue: 10/11/2022

Date of Registration: 10/11/2022

BR Number: 2 0 0 4 2 6 9 2 5 1 1 6 4 9 8 7 6

Name: MD SOJIB SHEKH

Date of Birth: 2 3 0 5 2 0 0 4 Sex: Male

In Word: 23th May, 2004 Order of Child: 1

Place of Birth: Pabna

Permanent Address: , Nowdapara Khidirpur

Mazpara, Atgharia, Pabna, Rajshahi Division

Father’s Name: Md Shayen Uddin

Father’s BRN: Father’s Nationality: Bangladeshi
Father’s NID: 9138348967

Mother’s Name: MST SABINA KHATUN

Mother’s BRN: Mother’s Nationality: Bangladeshi
Mother’s NID: 7338273472

(Signature and seal of the Registrar)

(Prepared by) (Verfied by)

Seal of Registrar Office

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