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Government of the People's Republic of Bangladesh

Office of the Registrar, Birth and Death Registratiol
Zolne-L, Dhaka North City Corporation
Dhaka, Bangladesh

{sI R"{{-{ w[q / Death Registration C ertificate

(Rules 11, 12)
Date of Registration 12112/2022 Death Registration Number Date olissuance l2ll2l2o22
19402692501108205
Date of Birth: 1610811940 Sex : Female
Date of Death 27 11012017

I Date of Death in word: Twenty seventh of october Two Thousand Seventeen

{Fr : cITg{{IqRt Name : Samsun Nahar
Tl-sT : TI-T{{ C{fi Mother : euanrun Nessa
rt\5t'nqtq'tol : Nationality : Bangladeshi
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Ftgf : GIa Y{l-fls'fr{ Father : Md Humayun Kabir
Ptsl-{qmn\5t : <l<EtCq'fr Nationality : Bangladeshi
lYrql.'{ : UFFI, {t(El-ffirt Place Of Death ; Dhaka,
Bangladesh
rtfrlS-*al-{ : ffilg qFIlS$ ql{l{ Spouse Name : MdAsadLrz Zam:an
lYr{s].fof :Frmfr-ffiqfis Cause Of Death : Ckd-Cronic
(qttffi srfq 6Irt (As Per ICD) Kidnev Disease
q{rt'(r)

Seal &
Signature
Seal &
Signature
Assistant to Registrar
Registrar
(Preparation . Veri ficati on)

This certificate is cenerated from bdris.gov.bd and to verify this certificate please scan the above eR code
 I llilllllilllII I : illlll
I
Government of the People's Republic of Bangladesh
Office of the Registrar, Birth and Death Registration
Zone-|, Dhaka North City Corporation
Dhaka, Bangladesh
qt fraqr-+ rqn/Birth Re gi stratio n C e rti fi c ate
(Rules 9, 10)
Date of Registration 1211212022 Birth Registration Number Date of issuance 1211212022

20192692s17109075
Date of Birth: 1211212019 Sex : Female Order of Child: 2
Date of Bith in word: Twelve December Two Thousand Nineteen
ilc : Name
$.|IsilT$.|T&-s-st : Faiza RahmanZikra
I {l\$ : sFl-fl ffll Mother : Quamrun Nessa
qlrgf? qlqns.I : {(qfc[ft
Nationality : Bangladeshi
BR Number : D802464542435451 Nationat ID : 9gj6567g90
Fiq : c{rc ElQa ffis Father : Md Humayrm Kabir
Pigl-{q]qnq : <l(4Rk'fr Nationality . Balgladeshi
BR Number : D702464542435456 National ID ..
7969976549
W8|'{ 'EITI, <t(Elrfi Place of Birth : Dhaka, Balgladesh
nT-$t 6-fl:{T : <1ql-T-t\8/fr, permauent ..224lB,Namapara
+xtailVr nrcrss- Address Khilkhet-l229, Dhaka
5Qtb, rFitl

Seal &
Signature Seal & Signature
Assistant to Registrar Registrar
(Preparation . Verifi cation)

This Certificate is Generated from bdris,gov,bd and to Verify this Certificate Please Scan the above QR Code