Heirship Certificate Application Form (English)

Applicant Information

Applicant's Name

Father's / Husband's Name

Mother's Name

Address

Mobile No.

Details of the Deceased

Name

Father's / Husband's Name

Mother's Name

Village

Post Office

Upazila

District

Ward

Holding No.

Date of Death (MM/DD/YYYY)

Death Registration No.

Resident Type

Details of Heirs

S/N	Name of Heir	Relationship	Date of Birth	Birth Reg. / NID No.	Comment	Action
1

Use "+" in each row's last column to add a new row, and "−" to remove that row. Maximum 20 heirs allowed.

I hereby declare that all the above information is correct. If any incorrect information is provided, the authorities may take legal action against me.

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Heirship Certificate Application — Preview

Applicant Information

আবেদনকারীর নাম—

পিতা / স্বামী—

মাতার নাম—

ঠিকানা—

মোবাইল—

Details of the Deceased

নাম—

পিতা / স্বামী—

মাতার নাম—

গ্রাম—

ডাকঘর—

উপজেলা—

জেলা—

ওয়ার্ড—

হোল্ডিং নং—

মৃত্যু তারিখ—

মৃত্যু নিবন্ধন নং—

বাসিন্দা—

List of Heirs

S/N	Name	Relationship	Date of Birth	Reg. / NID No.	Comment

If all information is correct, click Submit. To make corrections, click Edit to return to the form.