P O Personal

Personal

Details

Permanent

Address

Name

Father's Name

Mother's Name

Sex

Marital Status

Date of Birth

Blood Group

Religion

Nationality

NID NO

Vill- Laxmipur

P.O- Kalikapur

P.S- Durgapur

Dist- Netrokona

: Md. Akash Mia

: Md. Ruhul Amin

: Mst. Fulena Khatun

: Male.

: Unmarried

: 1st January, 2002

: O : Islam

: Bangladeshi (By birth)

: 691-***-****

Authentication do, hereby declare that all the statements made above are

true, correct and complete to the best of my knowledge.

Date:

(Md. Akash Mia)

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