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Meghalaya

This document is a birth certificate form from Meghalaya, India. It contains fields for information like the child's name, date and place of birth, parents' names and addresses. It includes the registration number and date and signature of the issuing authority.

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AnupriyaBhardwaj
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1K views1 page

Meghalaya

This document is a birth certificate form from Meghalaya, India. It contains fields for information like the child's name, date and place of birth, parents' names and addresses. It includes the registration number and date and signature of the issuing authority.

Uploaded by

AnupriyaBhardwaj
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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Form-5

GOVERNMENT OF MEGHALAYA
DEPARTMENT OF HEALTH AND FAMILY WELFARE ·.•.h
Name of local body issUing certificate
'i"J
. ....

BIRTH CERTIFICATE

Issued under Section 12/17 of the Registration of Births and Deaths Act. 1969
and Rt;le 8/13 the Meghalaya Registration of Births and Deaths Rules. 1999

This is to certify that the following information has been taken from the original record of birth

which is the register for (local areallocal body) .......................................................

of tahsil/block. of District. . . .. ........ ..... .. .. ..

of the state of Meghalaya

Name ......... sex ... '" ....... .

Date of birth Place of birth ..

Name of Mother.
)
Name of Father.. ...... .r.. ..

Address of parents at the time Of birth of Permanent Address of the parents:

the child

...............................

.. .... /. .............. ..
Registration No' Date of Registration: .......... . ............ .

Remarks [if any]

Date of issue ............... Signature of the Issuing authority

Address of the Issuing authority .

Seal

-Ensure registration of every birth and death"

Printed at thEr Directorate of Printing & StatIonery, Shillong

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