GOVERNMENT OF WEST BENGAL
DEPARTMENT OF HEALTH AND FAMILY WELFARE
DARJEELING DISTRICT HOSPITAL
BIRTH CERTIFICATE
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE
WEST BENGAL
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF
BIRTH WHICH IS THE REGISTER FOR DARJEELING DISTRICT HOSPITAL OF TAHSIL/BLOCK DARJEELING OF DISTRICT
DARJEELING OF STATE/UNION TERRITORY WEST BENGAL, INDIA.
FEMALE
NAME : NANGSEL BHUTIA GENDER :
43/AGUNDRI BAZAR WORD
DATE OF BIRTH : 08-06-2016 PLACE OF BIRTH :
NO-12,DARJEELING
NAME OF MOTHER : YANGCHEN DOLMA NAME OF FATHER :
TSERING DOLMA
MOTHERS IDENTITY PROOF : AADHAAR- FATHERS IDENTITY
AADHAAR-
XXXXXXXX1038 PROOF:
PRESENT ADDRESS OF MOTHER 43/AGUNDRI BAZAR WORD NO-12,KURSEONG,DARJEELING,WEST BENGAL,734203
AT THE TIME BIRTH OF THE
CHILD :
PERMANENT ADDRESS OF 43/AGUNDRI BAZAR WORD NO-12,KURSEONG,DARJEELING,WEST BENGAL,734203
MOTHER :
CERTIFICATE NO : B/2024/652815 DATE OF REGISTRATION : 10-04-2017
S-UHID : 98870991528534 REMARKS (IF ANY) :
DATE OF ISSUE : 29-04-2024 ISSUING AUTHORITY :
UPDATED ON : 29-04-2024 02:44:47
Signature Valid
Digitally Signed.
Name: ASHIS KUMAR
Date: 29-04-2024 02:44:47
REGISTRAR (BIRTH & DEATH)
DARJEELING DISTRICT HOSPITAL
"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"
