Government of the People’s Republic of Bangladesh
Birth and Death Certifi[rest outside photo frame]
Savar Pourasabha, Sa[var; rest outside photo frame]
Birth Certificate
(Cited from the Birth Registration Book)
Registration Book: 09
Date of Registration: 08/07/2012
Day Month Year
Date of Certificate Issue: 04/07/2012
Day Month Year
Personal Identification No: 19922627205231347
NAME: Mosammat Arifa Akhter
Sex: FEMALE Male
DATE OF BIRTH: Numerically (Christian calendar): 17-6-1992
In words (Christian calendar): Seventeen June Nineteen Ninety Two Christian Year
PLACE OF BIRTH: Kalubari, Gaibandha
FATHER’S NAME: Mo[hammad] A[bdul] Hamid
NATIONALITY: Bangladeshi
MOTHER’S NAME: Fatema Begum
NATIONALITY: Bangladeshi
PERMANENT ADDRESS: Bank Colony, Savar, Dhaka
Document prepared by Signature
Shahnaz Parveen
Sanitary Inspector
Savar Paurasabha
Savar, Dhaka
Signature of the Registrar and Seal with Name
Al-Haj Mohd Refayet Ullah
Mayor
Savar Paurasabha, Dhaka
Seal of Registrar’s Office
[Handwriting] 01728310257, 01836702200