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Lalita Ben

This document is a birth certificate issued by the Department of Health and Family Welfare of Gujarat, India. It certifies that Lalitaben Chachani was born female on February 16, 1979 at the General Hospital in Ahmedabad, Gujarat. Her mother is named Shantaben and her father is named Mevabhai. At the time of birth, their address was listed as Rohidash Vanshi Nagar Ramapir No Tekro Juna Vadaj, Ahmedabad, Gujarat 380013. This certificate was issued on October 16, 2017.

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ramvirrajput
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4K views1 page

Lalita Ben

This document is a birth certificate issued by the Department of Health and Family Welfare of Gujarat, India. It certifies that Lalitaben Chachani was born female on February 16, 1979 at the General Hospital in Ahmedabad, Gujarat. Her mother is named Shantaben and her father is named Mevabhai. At the time of birth, their address was listed as Rohidash Vanshi Nagar Ramapir No Tekro Juna Vadaj, Ahmedabad, Gujarat 380013. This certificate was issued on October 16, 2017.

Uploaded by

ramvirrajput
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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Ys\½}FORM - 5

ȤkK^hSd^Dh^
GOVERNMENT OF GUJARAT
8^sƊ]7WpXˆ^ah^Dƣ]hRia[hF
DEPARTMENT OF HEALTH AND FAMILY WELFARE

Kƛ\̆\hRX́
BIRTH CERTIFICATE
Kƛ\7Wp\^RWҭVRj7iViW]\y~WjD_\yzy7Wp
ȤkK^hSKƛ\\^RWҭVRjiW]\szxy€WhiW]\€ȺkKZ 
(Issued under Section 12/17 of the Registration of Birth and Death Act,1969
.
and Rule 8 of the Gujarat Registration of Birth and Deaths Rules 2018)

8Tj̆\hRjSD^ah\h58apJpD°WjIpWj\hˆeSjKƛ\WhȺl`^°DP½\h5Tj_pah\h58ajJpȐ[h^SWhȤkK^hS^hԌ]Wh7\UhahU‰Kƣ_hWh
7\UhahUShɀkDhWhIh5UEpPh˴h\be°^Wh^‰KƨN^\h5Jp

This is to certify that the following information has been taken from the original record of birth which is in the register for Village/City
CHANDKHEDA of Taluka Ahmedabad(C) of District Ahmedabad of Gujarat State, India.

Wh\Name : / Chachani Lalitaben ĤiSSex :Female

Kƛ\Sh^ŽEDate of Birth : 16/02/1979 Kƛ\ƨT`Place of Birth :


General hospital, Ahmedabad
\hShȵk5Wh\Name of Mother : iXShȵk5Wh\Name of Father : Mevabhai

‫ڦڀڞڥٴ‬Shantaben ɅkEaj^id„eiaȐƛ̃id„e^hKȶkS

Zh`DWhKƛ\d\]p\hShiXShȵk5d^WhȺk5Address of parents \hShiXShȵk5Dh]\jd^WhȺk5Permanent Address of


at the time of Birth of child : Parents :
ROHIDASH VANSHI NAGAR RAMAPIR NO ROHIDASH VANSHI NAGAR RAMAPIR NO
TEKRO JUNA VADAJ. AHMEDABAD 380013 TEKRO . JUNA VADAJ. AHMEDABAD 380013
‫ڏٱڤښړڥںڵ‬
‫ڠڑڤڙڦڌگڛڑٱڤڅڌگښڤڏگڂښڂړ‬Ṁ‫ڑڤڝڤڑژٳٶگ‬

WҭVRj˲\h5DRegistration No. : 985 WҭVRjWjSh^ŽERegistration Date : 16/04/2022

^Ž\hD½d iabpcWҭV Remarks (if any) : ̆\hRX́W5Z^Certificate No. : BW-0228-000756

/0

̆\hRX́DhQŽ8Ɯ]hWjSh^ŽEDate of issue : ̆\hRX́8XWh^dĂhiVDh^ŽWjdeŽSignature of Issuing


Authority :
16/10/2017 ..................................................................................

SubRegistrar ( Birth & Death )


dZ^‰Kƨ˼h^ Kƛ\\^R
Ahmedabad Municipal
Corporation

..

Disclaimer : This is a computer generated extract of birth register. In case of any objection, please contact concerned Registrar (B&D).

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