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This document is a birth certificate for Krishna Ronak Tulsyan born on August 21st, 2022 at Ganorakar Hospital in Nashik, Maharashtra, India. It provides details of the child such as name, sex, date of birth, place of birth, parents' names and addresses. The certificate was issued on December 6th, 2022 and is signed by the Sub-Registrar of Births and Deaths for the Municipal Corporation of Nashik West Zone. It contains a computer generated facsimile signature and has been approved as a valid legal document by the Government of India.

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Ronak Tulsyan
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4K views1 page

MPDF

This document is a birth certificate for Krishna Ronak Tulsyan born on August 21st, 2022 at Ganorakar Hospital in Nashik, Maharashtra, India. It provides details of the child such as name, sex, date of birth, place of birth, parents' names and addresses. The certificate was issued on December 6th, 2022 and is signed by the Sub-Registrar of Births and Deaths for the Municipal Corporation of Nashik West Zone. It contains a computer generated facsimile signature and has been approved as a valid legal document by the Government of India.

Uploaded by

Ronak Tulsyan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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मांक 1 महारा शासन फॉम-5

NO. 1 GOVERNMENT OF MAHARASHTRA FORM-5


आरोय वभाग
DEPARTMENT OF HEALTH

MUNICIPAL CORPORATION NASHIK WEST ZONE

जम माणप
BIRTH CERTIFICATE

जम व मृयु नदणी अधनयम, 1969 या कलम 12/17 आिण महारा जम आिण मृयु नदणी नयम, 2000 चे नयम 8/13 अवये देयात आले आहे.
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE MAHARASHTRA REGISTRATION
OF BIRTHS & DEATHS RULES 2000)

मािणत करयात येत आहे क, खालल माहती जमाया मूळ अभलेखाया नदवहतून घेयात आल आहे , जी क , तालुका नाशक , िजहा नाशक ,
महारा राया, भारत या नदवहत उलेख आहे.
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR MUNICIPAL CORPORATION NASHIK WEST ZONE OF TAHSIL/BLOCK NASHIK OF DISTRICT NASHIK OF STATE/UNION TERRITORY
MAHARASHTRA, INDIA.

नाव / NAME: KRISHA RONAK TULSYAN लंग / SEX: महला / FEMALE

जम तारख / DATE OF BIRTH:


जम ठकाण/ PLACE OF BIRTH:
21-08-2022
GANORKAR HOSPITAL NASHIK WEST
TWENTY-FIRST-AUGUST-TWO THOUSAND TWENTY TWO

आईचे पूण नाव / NAME OF MOTHER: वडलांचे पूण नाव / NAME OF FATHER:
ANKITA RONAK TULSYAN RONAK DINESHKUMAR TULSYAN

आधार मांक / MOTHER'S AADHAAR NO: आधार मांक / FATHER'S AADHAAR NO:

बाळाया जमायावेळी आई-वडलांचा पा / ADDRESS OF PARENTS AT THE TIME आई-वडलांचा कायमचा पा/ PERMANENT ADDRESS OF
OF BIRTH OF THE CHILD: PARENTS:
LAXMI NIWAS, PLOT NO.214 B, NEAR CRICKET GROUND,
MAHATMA NAGAR, NASHIK, , NASHIK, NASHIK, MAHARASHTRA- 422007 LAXMI NIWAS, PLOT NO.214 B, NEAR CRICKET GROUND,
MAHATMA NAGAR, NASHIK, NASHIK, NASHIK,
MAHARASHTRA- 422007

नदणी मांक / REGISTRATION NUMBER: नदणी ​दनांक / DATE OF REGISTRATION:


B-2022: 27-90330-003695 06-12-2022

शेरा / REMARKS (IF ANY):


---

माणप दयाचा दनांक / DATE OF ISSUE: नगमत करणारे ाधकार / ISSUING AUTHORITY :
06-12-2022
उप-रिजार (जम व मृयु)
SUB-REGISTRAR (BIRTH & DEATH)

MUNICIPAL CORPORATION NASHIK WEST ZONE

UPDATED ON :
06-12-2022 15:34:02

"THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY"
" THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-JULY-2015 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES".

" येक जम आिण मृयूची घटना नदयाची खाी करा " / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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