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(CCBDR Form-3A)

Peoplc's Repubiic of Bangladesh


Office of the Registrar of Birth and Death
Zone 2, Dhaka South City Corporation
Dhaka, Bangladesh
Birth Certificate
Irule-9, of Birth and Death Registralion (City Corpuration) Rules, 2006]
(Extract from Birlh Register)

Register No: 79 Ward No: 12


Date of Registration: 07-10-2020 Date of Issue: 07-10-2020

Birth Registration No:"119 8 0 2 6 9 2 012 18 8 0 6 7


Name: Sharmin Akter
* * *7****''*?********************'*** ****''****

Date of Birth: 18-06-1980


Sex: Female
***********°'********'***.

ighteenth June Nineteen Hiundred Eiglity.


A*******
*************************"
*****°***************

Place of Birth: Dhaka ***************


**

Father's Name: Sk Md Shahid Ullah


*?********** 7*°********:*
***********************
*

Father's Nationality: Bangladeshi **********

Mother's Name: /easmin ARter


**°***********************************
********.

Mother's Nationality: Bangladeshi

Malibagh, Dhaka 1217.


Permanent Addres: 7/3, Shantibagh, ****'*****°°*****'****************************°°**************°****************

Chandrika, BAF Officers' Quarters


Present Address: 803,
*** ?***
*°*************°*
* ***
********************************************

Cantonment, ZDhaka-1206

CihtSignature and Name of Registrar with Seal)


(Authorised Person Seal and Signature
Md. Lockman Hossain Co Dr. Abu Sadat Mohammad Saleh
MBBS, MBA
Asst. Birth & Death Reg. Asst. Iicalth Officer
Zone-02 (Khilgaon) office)ne2(Khilgaon)
Corporaticon, DhSeal ofthe Registrars South Cy pKLOD.
a

Seuth Giy * * - - * ~ - - -

serlal number.
next seven-dlgas area code
and last six cigts are person's
"First four digits represent yesr of blrth,

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