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This document is a birth certificate for Yashvardhan Tiwari born on November 1st, 2008 at Thakur Nursing Home in Gwalior, Madhya Pradesh, India. It provides details of his parents Pooja and Pradeep Kumar Tiwari. It certifies that the information presented was taken from the original birth record registered with the Municipal Corporation of Gwalior, Madhya Pradesh. The certificate was issued on August 2nd, 2023 and is a valid legal document for all official purposes according to the Government of India.

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Yash Vardhan
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1K views1 page

MPDF

This document is a birth certificate for Yashvardhan Tiwari born on November 1st, 2008 at Thakur Nursing Home in Gwalior, Madhya Pradesh, India. It provides details of his parents Pooja and Pradeep Kumar Tiwari. It certifies that the information presented was taken from the original birth record registered with the Municipal Corporation of Gwalior, Madhya Pradesh. The certificate was issued on August 2nd, 2023 and is a valid legal document for all official purposes according to the Government of India.

Uploaded by

Yash Vardhan
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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सं.

1 मय देश सरकार प-5


NO. 1 GOVERNMENT OF MADHYA PRADESH FORM-5
योजना, आिथक एवं सांियक वभाग
DEPARTMENT OF PLANNING, ECONOMICS & STATISTICS
नगर नगम वालयर
MUNICIPAL CORPORATION GWALIOR

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा मय देश जम मृयु रिजकरण नयम, 1999 के नयम 8/13 के अंतगत जार
कया गया )
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE MADHYA PRADESH
REGISTRATION OF BIRTHS & DEATHS RULES 1999)

यह मािणत कया जाता है ननलिखत सूचना जम के मूल अभलेख से ल गई है जो क नगर नगम वालयर तहसील गद िजला वालयर
राय/संघ देश मय देश, भारत के रिजटर म उिलिखत है ।
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE
REGISTER FOR MUNICIPAL CORPORATION GWALIOR OF TAHSIL/BLOCK GIRD OF DISTRICT GWALIOR OF STATE/UNION TERRITORY MADHYA
PRADESH, INDIA.

नाम / NAME: YASHVARDHAN TIWARI लंग / SEX: पुरष / MALE

जम तथ / DATE OF BIRTH:


जम थान/ PLACE OF BIRTH:
01-11-2008
THAKUR NURSING HOME GWALIOR
FIRST-NOVEMBER-TWO THOUSAND EIGHT

माता का नाम / NAME OF MOTHER: पता का नाम / NAME OF FATHER:


POOJA TIWARI PRADEEP KUMAR TIWARI

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE माता-पता के थायी पता/ PERMANENT ADDRESS OF PARENTS:
TIME OF BIRTH OF THE CHILD:
LAKKAD KHANA ROAD NEAR MADHOGANJ POLICE STATION, MADHOGANJ LAKKAD KHANA ROAD NEAR MADHOGANJ POLICE STATION,
LASHKAR, MADHOGANJ LASHKAR,
GWALIOR, , GIRD, GWALIOR, MADHYA PRADESH GWALIOR, GIRD, GWALIOR,
MADHYA PRADESH

पंजीकरण संया / REGISTRATION NUMBER: पंजीकरण तारख / DATE OF REGISTRATION:


B-2023: 23-90024-014348 02-08-2023

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
02-08-2023
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
नगर नगम वालयर
MUNICIPAL CORPORATION GWALIOR

UPDATED ON :
02-08-2023 14:11:47

"THIS IS A COMPUTER GENERATED CERTIFICATE. "


" 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 एवं मृयु का पंजीकरण सुनचत कर" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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