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NO. I GOVERNMENT OF MAHARASHTRA PORM-5

~~
OEPAR™ENT OF HEALTli

VARTAKNAGAR PRABHAG SAMITI THE MUNICIPAL CORPORATION OF THE CllY

OF THANE

~ !MIUIQ:l
BJRTH CERTIFICATE
-
~cf~~ 31~P.,q;i, 1969 v:TT ~ 12/17 ~ ~ ~ ~ ~ ~ f.n:rn, 2000 it f.n:m 8/13 3f""~ ~ ~ ~- (ISSUED UNDER
SECTION. 12/17 OF nrn REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE MAHARASHTRA REGISTRATION OF BIRTHS & DEATHS RULES
I 2000)
~ ~ ~ 31(t cl'.T, ~ ~ ;,jrJ-11~~-H ~ ~ .,'j,:,qi\i(-1 ~ 31@\- 31(t , ~ cf;'r qcf<f.oi•I{ ~ ~ of'OT "lialoi•l{Ql~q,I ,oruf
~ ~ . ~ ~ . ~ ~ . m«r v:rr ~ ~ 3llt.
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR
VARTAKNAGAR PRABHAG SAMITT THE MUNICIPAL CORPORATION OF THE CITY OF THANE OF TAHSIIJBLOCK THANE OF DISTRICT THANE OF STATE/UNION
TERRITORY MAHARASHTRA. INDIA.

~~~
1
.fl'q / NAME: PRAAHI ABHAY BAMBARDEKAR / fim I SEX: ~ / FEMALE
I

1 ~ ~ / DATE OF BIRTH:
;;r.~ ~ / PLACE OF BIRTH:
03-01-2024 JUPITER LIFELINE HOSPITALS LTD THANE/~ LIFELINE ,:jp~''iGM-1 LTD orcir
THIRD-JANUARY-TWO THOUSAND lWENTY FOUR
~ ~ ,nq I NAME OF MOTHER: ~ ~ rIT<f / NAME OF FATHER:
'RAJP.KTA ABHAY BAMBARDEKAR / '!ffiilffiT ~ ~ ABHAY GOPAL BAMBARDS;KAR / 3lSf« ~ ~

31f<.,~ ~ I MOIBEl\·S .tw.inAA.ll NO. 3lTtlR ~ / FATHER'S AADHAAR NO:

XX:XXXXXX0736
"OJOCXXXX,C938
~ ~.=;q~ 3lff-~ 1.ffiT /ADDRESSOFPARENTSATTHE ~-~ ~ 1.ffiT/ PERMANENT ADDRESS OF PARENTS:
TIME OF BIRTH OF THE CHlLD:
1903 , MAJTHIU rRIDE M H B COLONY , POKHRAN ROAD 1 NR H P GAS 1903, MAITHILI PRIDE M H B COLO:~Y. POKHRAN ROAD 1 NR H P GAS GODOWN,
GODOWN VARTAK NAGAR THANE, THANE, THANE, THANE,
v:,RTAK NACAR THANE , TH:.NE, T'iANE, THANE MAHARASHTRA· 400606
~AHARASHTRI'.· 400606 \<?, ··t ~ ~ q-=r 11:"<l" ~ ~ - i:rrmur D"5" ' ~ fr 7i1< JTr';T3,f,
~</,•~ , mttTT Ill£'!. qJ:f Q."Tl" -qr "qif;:r.fr ~ if!" • ~ fr ml' mTT3rf, m r!1'R orur. orur <"I" m.>. orot. orcir.
~ -=rm- c;riil' , orur <~ ~ >. orur. vw. ~ - 400606
~ - 400606

~ ~ I REGISTR.\TJ0N 1'UMl3l!R: 'oil"lfOTT ~ / DATE OF REGISTRATION:

B-20'.!4: 27-90411-000207 17-01-2024

)ffi / REMARKS (IP ANY):

~ ~ ft.rrt; / DATE OF ISSUE: ~ ~ ~ I ISSUlNG AUTHORITY .

04-03-2024 ~-~~'ff~
SUB-REGISTRAR (BIRTH & DEATH)

VARTAKNAGAR PRABHAG SAMITI THE MUNICIPAL CORPORArIO\'. 01

lllE CllY OF THANE

l 1PDATi?D ON •
'J l-(•3-:.!02it 06:05:03

"THIS JS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY"
• THE GOVT OP INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-JULY-2G15 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFPIClAL PURPOSE!. .

• ,rc4i,r ~ 3lmt -lfl('ft ~ ~ ~ lli{f ' / l•\SI IU·,IU·'.CilS I R:\TIO\ 01 t,\l.,:l Hllllll,\\U llt:.\fll'

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