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This document is a birth certificate for Chirayu Kumar born on August 21, 2016 at Civil Hospital in Manimajra, Chandigarh, India. It provides details of the child such as name, gender, parents' names and addresses. The certificate was issued on August 22, 2016 by the Sub-Registrar at Civil Hospital, Manimajra and contains the registration officer's facsimile signature. It is a computer-generated legal document that certifies the information was taken from the original birth record.

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105 views1 page

MPDF 4ew

This document is a birth certificate for Chirayu Kumar born on August 21, 2016 at Civil Hospital in Manimajra, Chandigarh, India. It provides details of the child such as name, gender, parents' names and addresses. The certificate was issued on August 22, 2016 by the Sub-Registrar at Civil Hospital, Manimajra and contains the registration officer's facsimile signature. It is a computer-generated legal document that certifies the information was taken from the original birth record.

Uploaded by

mohit7906144
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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सं.

1 चंडीगढ सरकार प-5


NO. 1 GOVERNMENT OF CHANDIGARH FORM-5
वाय सेवाएं वभाग
DEPARTMENT OF HEALTH SERVICES
सवल हॉिपटल, मानी माजरा, चंडीगढ़
CIVIL HOSPITAL, MANIMAJRA, CHANDIGARH

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा चंडीगढ जम मृयु रिजकरण नयम, 2000 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 CHANDIGARH REGISTRATION OF
BIRTHS & DEATHS RULES 2000)

यह मािणत कया जाता है ननलिखत सूचना जम के मूल अभलेख से ल गई है जो क सवल हॉिपटल, मानी माजरा, चंडीगढ़ तहसील चंडीगढ िजला
चंडीगढ राय/संघ देश चंडीगढ, 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 CIVIL HOSPITAL, MANIMAJRA, CHANDIGARH OF TAHSIL/BLOCK CHANDIGARH OF DISTRICT CHANDIGARH OF STATE/UNION TERRITORY
CHANDIGARH, INDIA.

नाम / NAME: CHIRAYU KUMAR लंग / SEX: पुरष / MALE

ई-आईडी नंबर / EID NO.:


XXXXXXXXXXXXXXXXXXXXXXXX4201

जम तथ / DATE OF BIRTH:


जम थान/ PLACE OF BIRTH:
21-08-2016
CIVIL HOSPITAL, MANIMAJRA, CHANDIGARH
TWENTY-FIRST-AUGUST-TWO THOUSAND SIXTEEN

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


BABY DEVI MUKESH KUMAR

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 TIME OF माता-पता के थायी पता/ PERMANENT ADDRESS OF
BIRTH OF THE CHILD: PARENTS:
# 231, PIPLI WALA TOWN,
MANI MAJRA, , CHANDIGARH, CHANDIGARH, CHANDIGARH # 231, PIPLI WALA TOWN,
MANI MAJRA, CHANDIGARH, CHANDIGARH,
CHANDIGARH

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


B-2016: 4-90002-001093 22-08-2016

टपणी / REMARKS (IF ANY):


TOB--3:32 PM

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
22-08-2016
उप-रिजार (जम एवं मृयु)
SUB-REGISTRAR (BIRTH & DEATH)
सवल हॉिपटल, मानी माजरा, चंडीगढ़
CIVIL HOSPITAL, MANIMAJRA, CHANDIGARH

UPDATED ON :
22-08-2016 11:34:46

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

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