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Birth Certificate

This document is a birth certificate issued by the Government of Gujarat for a child named Samayra Sameer Tai, born on November 20, 2024, at Yashfeen Hospital in Navsari. The certificate includes details about the parents, Najema Sameer Tai and Sameer Ibrahim Tai, along with their permanent address. It is registered under the Registration of Birth and Death Act, 1969, and was issued on January 30, 2025.

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139 views1 page

Birth Certificate

This document is a birth certificate issued by the Government of Gujarat for a child named Samayra Sameer Tai, born on November 20, 2024, at Yashfeen Hospital in Navsari. The certificate includes details about the parents, Najema Sameer Tai and Sameer Ibrahim Tai, along with their permanent address. It is registered under the Registration of Birth and Death Act, 1969, and was issued on January 30, 2025.

Uploaded by

mohsinbhamjipc
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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Ys\½}FORM - 5

ȤkK^hSd^Dh^
GOVERNMENT OF GUJARAT
8^sƊ]7WpXˆ^ah^Dƣ]hRia[hF
DEPARTMENT OF HEALTH AND FAMILY WELFARE

Kƛ\̆\hRX́
BIRTH CERTIFICATE
Kƛ\7Wp\^RWҭVRj7iViW]\y~WjD_\yzy7Wp
. ȤkK^hSKƛ\\^RWҭVRjiW]\szxy€WhiW]\€ȺkKZ 
(Issued under Section 12/17 of the Registration of Birth and Death Act,1969
and Rule 8 of the Gujarat Registration of Birth and Deaths Rules 2018)

8Tj̆\hRjSD^ah\h58apJpD°WjIpWj\hˆeSjKƛ\WhȺl`^°DP½\h5Tj_pah\h58ajJpȐ[h^SWhȤkK^hS^hԌ]WhWadh^Ž‰Kƣ_hWh
Wadh^ŽShɀkDhWhWadh^Ž˴h\be°^Wh^‰KƨN^\h5Jp

This is to certify that the following information has been taken from the original record of birth which is in the register for Village/City
Navsari(M) of Taluka Navsari(C) of District Navsari of Gujarat State, India.
Wh\Name : d\h]^hSAMAYRA ĤiSSex : Ḛṏ‫ڦ‬Female

Zh`DȵkʠkĮWh\: d\h]^hd\j^Sh: Child's Full Name SAMAYRA SAMEER TAI

Kƛ\Sh^ŽEDate of Birth : 20/11/2024 Kƛ\ƨT`Place of Birth :

Wednesday, November 20, 2024 YASHFEEN HOSPITAL VIRAVAL NAVSARI


\hShȵk5Wh\Name of Mother : iXShȵk5Wh\Name of Father :

‫ڤړ‬ἓ‫ٶڤڏښڦژڠڤژ‬NAJEMA SAMEER TAI d\j^9̈heŽ\Sh:SAMEER IBRAHIM TAI

Zh`DWhKƛ\d\]p\hShiXShȵk5d^WhȺk5Address of parents \hShiXShȵk5Dh]\jd^WhȺk5Permanent Address of


at the time of Birth of child : Parents :
95, MASJID FADIYU, BHANODRA, TAL CHORYASI, DIST 95, MASJID FADIYU, BHANODRA, TAL CHORYASI, DIST
SURAT, GUJARAT-394230 / ‫ژڹڽ‬Ḛἓ‫گڎڤڗٱڧڙڜڥڕڑ‬ṑ‫ڤڏڤ‬ SURAT, GUJARAT-394230 /‫ژڹڽ‬Ḛἓ‫گڎڤڗٱڧڙڜڥڕڑ‬ṑ‫ڤڙگڅڤڏڤ‬᷷‫ڦڠ‬ἓ
‫ڤڙگڅ‬᷷‫ڦڠ‬ἓ‫ڴڷڶڸڽڷڏڤښڇڧڂڏښڧڠ‬ ‫ڴڷڶڸڽڷڏڤښڇڧڂڏښڧڠ‬

WҭVRj˲\h5DRegistration No. : 4745 WҭVRjWjSh^ŽERegistration Date : 30/11/2024

^Ž\hD½d iabpcWҭV Remarks (if any) : ̆\hRX́W5Z^Certificate No. : B202421003358

/0

̆\hRX́DhQŽ8Ɯ]hWjSh^ŽEDate of issue : ̆\hRX́8XWh^dĂhiVDh^ŽWjdeŽSignature of Issuing


Authority :
30/01/2025 ..................................................................................

SubRegistrar ( Birth & Death )


dZ^‰Kƨ˼h^ Kƛ\\^R

Navsari(M) , Navsari Municipal Corporation

WRwD6KzJirqtN1CgUZiBmO/poQnOvbZvP/BbvZGXJGnM3gwKr71NcgH8VeStui8x

Disclaimer : This is a computer generated extract of birth register. In case of any objection, please contact concerned Registrar (B&D).

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