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BirthCertificate 8087495

This document is a birth certificate issued by the Government of West Bengal for Sristi Rishi. It provides details of her birth such as date of birth (March 13, 2023), place of birth (Malda Eden Nursing Home in English Bazar, Malda, West Bengal), parents' names and identification numbers. It also lists the registration number, date of registration and issuing authority for the birth certificate.

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694 views1 page

BirthCertificate 8087495

This document is a birth certificate issued by the Government of West Bengal for Sristi Rishi. It provides details of her birth such as date of birth (March 13, 2023), place of birth (Malda Eden Nursing Home in English Bazar, Malda, West Bengal), parents' names and identification numbers. It also lists the registration number, date of registration and issuing authority for the birth certificate.

Uploaded by

pritamdas8465
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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Form-5

GOVERNMENT OF WEST BENGAL


DEPARTMENT OF HEALTH AND FAMILY WELFARE

GRAM PANCHAYAT JADUPUR-I

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 GRAM PANCHAYAT JADUPUR-I OF BLOCK/MUNICIPALITY ENGLISH BAZAR OF DISTRICT MALDA OF STATE
WEST BENGAL, INDIA.

NAME : SRISTI RISHI GENDER : FEMALE

DATE OF BIRTH : 13/03/2023 PLACE OF BIRTH : MALDA EDEN NURSING HOME, ENGLISH
BAZAR, MALDA, JADUPUR-I, WEST
BENGAL

NAME OF MOTHER : SHOVA CHOWHAN NAME OF FATHER : NISHIDEV RISHI


RISHI

MOTHER'S IDENTITY PROOF : AADHAAR- FATHER'S IDENTITY PROOF : AADHAAR- XXXXXXXX0766


XXXXXXXX0887

PRESENT ADDRESS OF MOTHER STREET/LANE:- SARKARPARA,LOCALITY:- GAZOLE,VILLAGE/TOWN:- GAJOL,GAZOLE BLOCK,DIST:-


AT THE TIME BIRTH OF THE MALDA,WEST BENGAL-732124
CHILD :

PERMANENT ADDRESS OF STREET/LANE:- SARKARPARA,LOCALITY:- GAZOLE,VILLAGE/TOWN:- GAJOL,GAZOLE BLOCK,DIST:-


MOTHER : MALDA,WEST BENGAL-732124

CERTIFICATE NO : B/2023/334659 DATE OF REGISTRATION : 20/03/2023

S-UHID : 68738373598654 REMARKS (IF ANY) :

DATE OF ISSUE : 21/03/2023 ISSUING AUTHORITY :

UPDATED ON : 2023-03-20 19:39:41

Signature Not Verified


Digitally Signed.
Name: AYESHA YASMIN
Date: 21-Mar-2023 16:49:06

SUB-REGISTRAR (BIRTH & DEATH)


GRAM PANCHAYAT JADUPUR-I

"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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