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Birth

This document is a birth certificate issued by the Government of Kerala for a child named Gani, born on June 8, 2007, at Chaitanya Hospital in Kannur. The certificate includes details about the parents, Soumya V.K. and Sunadar A.K., and the registration information. It is issued under the Registration of Births and Deaths Acts, 1969.

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23 views2 pages

Birth

This document is a birth certificate issued by the Government of Kerala for a child named Gani, born on June 8, 2007, at Chaitanya Hospital in Kannur. The certificate includes details about the parents, Soumya V.K. and Sunadar A.K., and the registration information. It is issued under the Registration of Births and Deaths Acts, 1969.

Uploaded by

akaadidev
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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TEN

RUPEES

.10 Rs.10
INDIA
INDIANON JUDICIAL
Geogo T KERALA FORM No.5 424196
03AA Form-5
(See Ruie 8)

No BO020222-07061910

GOVERNMENT OF KERALA

DEPARTMENT OF PANCHAYATS/URBAN AFFAIRS

Name of local boay issuing certuficate KannurMunicipaiity

BIRTH CERTIFICATE

(1969-0 aM-DOM omasaucð ng ehsloe 2/7 lgto 1999-0e gaog saMO-B0M

(Issued under Secticn 12/17of the Registration of Births and Deaths Acts, 1969 and Rule
B/13 of the Kerala Registration of Births and Deaths Rules, 1999)

his to csfy tnat the folowing


is information has been taken from the original record of
birth wniàsthe register for (iocal area/local body)KannurMunicipality of Taiuk Kannur
Distgs àjnur of State Ker
Page 1 of 2

Vatue R.....
Mc."sCourt Ag. Starmp ndor2Vdaju'ha
80020222-07061910

GnJd/Name
N3ad/Ob/ Sex
am) loml/Date of Birth
:
:nd
Tl Gani
:08/06/2007
/ Male

/
no80 ) Q
TWO THOUSAND SEVEN
/ AADI DEV SUNADARA.K

)
(EIGHTIJUNE

2M0uce/Place of Birth :0amKannur


Gn0mnlg, / Cnaithanya Hospital,

0b%l cal /Name of Mother va .lo. SOUMYA / V.K.

ndlooniond dauð/ Name of Father : g6.n).. |SUNADAR A.K.

lo670o601

: SUNAGAR NILAYAM, P.0. CHERUPAZHASSI, KANNUR


Address of the parents at the
time of birth of the chiid DIST, KERALA ST, PIN- 670601

lo-670601

address of parents :SUNAGAR NILAYAM , P.O. CHERUPAZHASSI , KANNUR


Permanent
KERALA ST, PIN- 670601

olasSnso0 miô) :2666/2007


DIST,
GlesSosrð mlDn/ 29/06/2 007 :
No Date of Registration
Registration

TOSlJIANlRemarks (if any)

oan oloml /Date of issue 04/09/2o07

Signature of the issuing authority

Health Inspactor
Address of the issuing authority
Registrar of Births Ceaths

mloo /sEAL Kannur M.ity


"Ensure Registration of Every birtn and death"

3JG0N 200jo adGDijo Qlyð aJooj 20g|00jcb)lG Page 2 of 2


GISTRA
&
MLiTY
DEA
ATH

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