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AMIT

This document is a birth certificate for Amit Chowdhury born on May 1st, 2007 in Bijoy Krishna Memorial Santiniketan, Habra Municipality, North 24 Parganas, West Bengal, India. It provides details of his parents Rimi and Ajoy Chowdhury including their identification proofs. It also lists the present and permanent addresses of his mother Rimi Chowdhury at the time of his birth. The certificate was issued on December 28th, 2007 by the Registrar of Births and Deaths of Habra Municipality.

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1K views1 page

AMIT

This document is a birth certificate for Amit Chowdhury born on May 1st, 2007 in Bijoy Krishna Memorial Santiniketan, Habra Municipality, North 24 Parganas, West Bengal, India. It provides details of his parents Rimi and Ajoy Chowdhury including their identification proofs. It also lists the present and permanent addresses of his mother Rimi Chowdhury at the time of his birth. The certificate was issued on December 28th, 2007 by the Registrar of Births and Deaths of Habra Municipality.

Uploaded by

prasantokumarsadhu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Form-5

GOVERNMENT OF WEST BENGAL


DEPARTMENT OF HEALTH AND FAMILY WELFARE

MUNICIPALITY HABRA

BIRTH CERTIFICATE

(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE WEST BENGAL
REGISTRATION OF BIRTHS & DEATHS RULES 2000.)

THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS
THE REGISTER FOR MUNICIPALITY HABRA OF BLOCK/MUNICIPALITY MUNICIPALITY HABRA OF DISTRICT NORTH 24 PARGANAS
OF STATE WEST BENGAL, INDIA.

NAME : AMIT CHOWDHURY GENDER : MALE

DATE OF BIRTH : 01/05/2007 PLACE OF BIRTH : BIJOY KRISHNA MEMORIAL


SANTINIKETAN, MUNICIPALITY HABRA,
NORTH 24 PARGANAS, WEST BENGAL

NAME OF MOTHER : RIMI CHOWDHURY NAME OF FATHER : AJOY CHOWDHURY

MOTHER'S IDENTITY PROOF : AADHAAR- FATHER'S IDENTITY PROOF : AADHAAR- XXXXXXXX


XXXXXXXX

PRESENT ADDRESS OF MOTHER STREET/LANE:- VILL- SOUTH HABRA,LOCALITY:- P.O- HABRA,VILLAGE/TOWN:- HABRA,MUNICIPALITY
AT THE TIME BIRTH OF THE HABRA MUNICIPALITY,DIST:- NORTH 24 PARGANAS,WEST BENGAL-743263
CHILD :

PERMANENT ADDRESS OF STREET/LANE:- 63 K M ROAD, VILLAGE/TOWN: BAIDYABATI,LOCALITY:- P.O- BHADRESWAR,


MOTHER : MUNICIPALITY:,DIST:- HOOGHLY, WEST BENGAL-712222

CERTIFICATE NO : B/2022/548725958 DATE OF REGISTRATION : 24/12/2007


Old Reg No: 415/22

S-UHID : 58199263396518 REMARKS (IF ANY) :

DATE OF ISSUE : 28/12/2007 UDIN : -----

UPDATED ON : 2022-10-24 16:46:27 ISSUING AUTHORITY :

Signature valid
Digitally Signed.
Name: MANAS DAS
Date: 28-Oct-2022 17:45:18

REGISTRAR (BIRTH & DEATH)


MUNICIPALITY HABRA

"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

"ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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