(Translation)
COPY OF HOUSE REGISTRATION Form Thor. Ror. 14
(For the head of Household)
House No. Village No. Sub-district : District : Page No. of pages
Name of Place : Name of Village : Lane : Alley : Road :
Family
No. Person
No. Name
Surname
Sex Relationship to head of Family Date of
Birth
D/M/Y
Nationality Particulars of Parents Moved in Moved out
Name
Nationality
From
Signature of Registrar
To
Signature of Registrar
M
F
Mother : District : District :
Father : On : On :
M
F
Mother : District : District :
Father : On : On :
M
F
Mother : District : District :
Father : On : On :
M
F
Mother : District : District :
Father : On : On :
M
F
Mother : District : District :
Father : On : On :
M
F
Mother : District : District :
Father : On : On :
M
F
Mother : District : District :
Father : On : On :
Certified correct translation