Office of Executive Magistrate, Borivali
Ref 1: G.R.P.& S.D. No.1586/34-D, Dated 17.5.1951
Ref 2: G.R.GAD No. Mis.31/76-Desk-xxxll, Dated 25.8.1977
Ref 3: शा. नि. सा. पू. नि. क..डीएमसी.1087/9698/ 608 - 32. Dated 2.1.1989
Ref 4: Government Resolution No. Mis.2010/PRA.KRA.300/Videshi-2 Mantralaya,
Mumbai - 32, Dated 5/10/2010
District : Mumbai Suburban
Certificate of Age, Nationality and Domicile
(Issued by Authorities in the State of Maharashtra)
On submission of the proofs noted below, it is hereby certified that, Mrs, Sana Abdul Rehman Shaikh
R/O R. No- 263, H Ward, BMC Colony, Gen A.K Vaidya Marg, Near BMC School, Hanuman Nagar,
Village Goregaon East, Tehsil Borivali, District Mumbai Suburban was born on 05/06/1992 (Fifth of June, in
the year of Nineteen Ninety Two) at Goregaon Tehsil Borivali District Mumbai Suburban in the State of
'MAHARASHTRA' within
the territory of INDIA and is a CITIZEN OF INDIA and has domiciled in the State of Maharashtra.
PARTICULARS OF PROOFS SUBMITTED
1 . Aadhaar Card
2 . Pan Card
3 . Voting Card
4 . Ration Card
5 . School Leaving Certificate
6 . Residence Proof by Bill Collector
7 . Other
8 . Self-Declaration
Digitally Signed By
Sunil Prakash Kapdnis
Date:16/11/2024
Place : Borivali Executive Magistrate
Date : 17/11/2024 Borivali
