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BIRTH

Birth Certificate

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0% found this document useful (0 votes)
3K views2 pages

BIRTH

Birth Certificate

Uploaded by

rohitc2509
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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er we ATO ‘GOVERNMENT OF UTTAR PRADESH roms efter ue career Fear DEPARTMENT OF MEDICAL AND HEALTH @ arefire career x PRIMARY HEALTH CENTRE SrasRcli tail [BIRTH CERTIFICATE care arg rftegrers sf, i969 emer 2 yay ae ane wir oem ar fate Ore, 2002 w Fe o/s Beech fr ; {ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1959 AND RULE 6/13 OF THE UTTAR PRADESH REGISTRATION (OF BINTHS & DEATHS RULES 2002) x rf fot a ¢ freatatan ae zen & Bate fe mathe ere se shee orth fame Seon roca Wey sweat wre er See PL {Tals is T0 CetoTEY Ta THE FOLLOWING INFORMATION HAS BEEN TAKEN FROMTHE ORIGINAL RECORD OF BIRTH WHICH 16 THE REGISTER Fok PRIMARY HEALTH CENTRE MOMANMADPUR OF TARSILMLOCK NU2AWABAD OF DISTRICT AMEARIT OF STATEUNION TERRITORY UTTAR Raves INDIA "=O / NAME: TRISHA fifa / SEX. #71 FEMALE, ‘gen fat / DATE OF BIRTH: Trto2016, ELEVENTH#-OCTOBER-TWO THOUSAND SIXTEEN ‘oH ETH PLACE OF BIRTH PHC MOMABIMADPUR ‘Erm 1-3 / NAME OF MOTHER: ‘fear SI / NAME OF FATHER: Poo SAWANT smart qth er / MOTHER'S UID No, feat ar are sie / PATHERS UID NO, ‘weit $row sor ara-Fhat Wa /ADDRESS OF PARENTS ATTHE TIME OF —Tat-Prr ersh Wy PERMANENT ADDRESS OF PARENTS: DIRTH OF THE CHILD: [LOHSAMU BARAKPUR, LLUHSAMU BARAKPUR, (CHAU, LUHSAMU BARAKPUR,, NIZAMABAD, AZAMGARH, UTTAR PRADESH (CHAU, LUHSANTU BARAKPUR, NIZAMABAD, AZAMGARH, UTTAR PRADESH ‘cher ect / REGISTRATION NUMBER, “plheree athe / DATE OF REGISTRATION. 2017 959484-D00047 24912017 (er) REMARKS (IF AN: ‘ari era fae DATE OF ISSUE: ah 4012017 PRIMARY HEALTH CENTRE MOHAMMADPUR || vrparen ow 21201? 120523 “THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY" "THE GOVT. OF INDIA VIDE CIRCULAR NO, 1/12/2014-VSICRS) DATED 27 ULY 2015 HAS APPROVED THIS CERTIFICATE ASA VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES" ‘THE AUTHENTICITY OF THIS CERTIFICATE CAN BE VERIFIED FROM THE WEBSITE CRSORGL GOVAN. ‘THE REGISTRATION NUMBER IS UNIQUE TO EACH EVENT. ete ame Ot ay Tae "SP /- ENSURE REGISTRATION OF EVERY MRTILAND DEATH” = wate 3 erry a No. (GOVERNMENT OF MAHARASHTRA @ reve POAT DEPARTMENT OF HEATH "THANE CIVIL HOSPITAL ae ree BIRTH CERTIFICATE EA eg tet aie, ca a we tari nt eTTE wo se arg vie Fa, 2000 & Fel g73 aad ZvuR sz se ASGLIED UNDER. 5, a4, SPCTION 1217 OF THE RECISTRATION OF BIRTHS DEATHS ACT, 1969 AND RULE 019 OF THE MAHARASHTRA REGISTRATION OF BIRTHS & DEATHS RULES 2003) sor wert a gt ih et are a armen tee re sb at oh ee woe, aT ae Fer ont. eT rea, sree war ewer sete i ‘ui To CEAMIY THAT TH FOLLOWING INFORMATION HAS REE TAKEN FROM THE ORIGINAL RECORD OF BITE! WHI I THE REGISTER FOR TEANE CH. Hosta ce TAILBUOCR THANE OF DSN? MANE Cr STATEAMIONTERITON ManALASSTRN MAKE: oN ASVANT KUMAR GUPTA / AR Seta TT AT ‘er / SEX, FST 7 FEMALE | HEI CIAL te eae ms Sea renew cures SPSL es ae | mt et wer ane OF MOTHER. ‘aftara oo Fry / NAME OF FATHER: SESE GE roe SOURS ANSEEIE oe ge cect ee ee aE oe SRS Soret ant -afesten wer ADDRESS OF PARENTS AT'THE TOME OF BIRTH se farur Sra WT! PERMANENT ADDRESS OF PARENTS: amas Se meen ounce sm MANOR JV. AWA SIASAR NACA. OURGA SHUT! MANOR WAL ALMA Soe reer ne sine eae ! Seema ons Taber: Ses Seer ay ga ea a res wa, Sere nso ae re, eu, Sea oe 8 ar or wie) Sn Be, ror oa Seng eos S@ ie jszcison ware Stef fore DATE OF RGISTAMON: | Bie resocoostt Buna i. reer Keurar exes /DATE OF ISSUE; ‘xfer error fh / iSsuING AUTHORITY: eorams seafrege (row ® SUB-REGISTIAN (BIRTH 6 DEATH. | ‘THANE CML MoserTAL, (epereD on: | meena 1436 “THS ISA COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY™ | {THE GOVT. OF INDIA VIDE CIRCULAR NO, 1122014 VS(CKS) DATED Z7JULY2015 HAS i Tee aR gt en Siewert * / sume RACArTRATION OF FEAT MUTE AND DEAT

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