Form No. 1 Birth Report | Rakib Star Enterprise

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Official Birth Report particulars are held volatilely in browser memory. No data is stored on server databases.

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Same to Same Birth Report Form No. 1 / জন্ম প্রতিবেদন (ফর্ম নং ১)

Official CRS Registration of Births & Deaths Form Replica (Exact Pink Paper & Full A4 Fit)

Select Document Language (ভাষা নির্বাচন):

English (Page 1 Same-to-Same) বাংলা (Page 2 Same-to-Same)

Select Paper Theme (কাগজের রঙ):

🌸 Official Pink Paper (গোলাপী) 📄 Plain White (Ink Saver)

1. Legal Information / আইন গত তথ্য (Items 1 - 9)

1. Date of Birth (জন্ম তারিখ) *

2. Sex (লিঙ্গ) *

3. Name of Child (if any) / শিশুর নাম

4. Father's Name (পিতার নাম)

UID of Father (পিতার আধার নম্বর)

Contact No. of Father (পিতার ফোন)

5. Mother's Name (মাতার নাম) *

UID of Mother (মাতার আধার নম্বর)

Contact No. of Mother (মাতার ফোন)

6. Address of parents at the time of birth (শিশুর জন্মের সময় পিতা-মাতার ঠিকানা)

7. Permanent address of parents (পিতা-মাতার স্থায়ী ঠিকানা)

8. Place of Birth (জন্মের স্থান)

9. Informant Name & Address (সংবাদদাতার নাম ও ঠিকানা) *

2. Statistical Information / পরিসংখ্যান সংক্রান্ত তথ্য (Items 10 - 22)

10(a). Town/Village Name

10(b). Town / Village

10(c). District Name

10(d). State Name

11. Religion (পরিবারের ধর্ম)

12. Father's Education Level

13. Mother's Education Level

14. Father's Occupation

15. Mother's Occupation

16. Age at 1st Marriage

17. Age at This Birth

18. Total Live Born

19. Delivery Attention (পরিচর্যা)

20. Method of Delivery

21. Birth Weight (Kg)

22. Pregnancy Duration (Weeks)

Mandatory Registration Facilitation Notice & Compliance

Rakib Star Enterprise provides in-browser formatting and document completion assistance for citizens, Jan Seva Kendras, and CSC VLEs. Official registration of births, issuance of legal certificates, and verification are solely governed by the Registrar of Births and Deaths, Municipal Authorities, Gram Panchayats, and the Department of Health & Family Welfare. Rakib Star Enterprise is not an official government registrar.

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