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Janam Praman Patra Form PDF

This document is a birth certificate issued under the Registration of Births and Deaths Act, 1969, for an individual named Manjinder Singh, born on April 25, 1986, in Warana Tarn Taran, Punjab. The certificate includes details about the parents, Swarn Kaur and Sardar Singh, and their permanent address. It was registered on April 30, 2025, and issued by the relevant authority in Amritsar, Punjab.

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3K views1 page

Janam Praman Patra Form PDF

This document is a birth certificate issued under the Registration of Births and Deaths Act, 1969, for an individual named Manjinder Singh, born on April 25, 1986, in Warana Tarn Taran, Punjab. The certificate includes details about the parents, Swarn Kaur and Sardar Singh, and their permanent address. It was registered on April 30, 2025, and issued by the relevant authority in Amritsar, Punjab.

Uploaded by

karandeepsingh7526
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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iz:i la- 5

FORM NO. 5

tUe izek.k & i=k


BIRTH CERTIFICATE
¼ tUe vkSj e`R;q jftLVªhdj.k vf/kfu;e] 1969 dh /kkjk 12@17 vkSj
jktLFkku tUe vkSj e`R;q jftLVªhdj.k fu;e] 2000 ds fu;e 8@13 ds v/khu tkjh fd;k x;k ½
( Issued under Section 12/17 of the Registration of Births and Deaths Act,1969 and Rule 8/13 of the
Rajasthan Registration of Births and Deaths Rules, 2000 )

;g izekf.kr fd;k tkrk gS fd fuEu fyf[kr lwpuk tUe ds ewy vfHkys[k ls yh xbZ gS tks fd ¼LFkkuh; {ks=k@LFkkuh; fudk; ½ ---------------------------------
------------------------ TARN TARAN
rglhy @[k.M ------------------------------------------------------------------------------ TARN TARAN
ftyk ------------------------------------------------------------------------------------------jkT;-@la ?k jkT;
TARN TARAN
{ks=k-------------------------------------------------------------dk jftLVj gSA

This is to certify that the following information has been taken from the original record of birth which is the
TARN TARAN
register for (local area / local body)………………………….of tahsil / block TARN TARAN
.………………………. of
TARN TARAN
District………………………………of PUNJAB
state / Union territory ……………………………

Manjinder singh
uke@Name: ……………………………………….............. Male
fyax@ Sex.................................………………………..
25/04/1986
tUe frfFk@Date of Birth ……………………...................… warana tarn tarn Punjab
tUe LFkku @Place of Birth …......................……………
SWARN KAUR
ekrk dk uke@Name of Mother………………………………................................................……………………….
SARDARA SINGH
firk dk uke @ Name of Father…………………………….....................................................……………………….

cPps ds tUe ds le; ekrk firk dk irk ekrk&firk dk LFkk;h irk


Address of parents at the time of birth of the child: Permanent address of parents:
VPO , warana tarn tarn Punjab
……………………………....…………........…… VPO DHOTIAN TEHSIL AND DISTT,
................................………………………………..
TARN TARAN PIN 143401,PUNJAB,INDIA
………………………………………............…… TARN TARAN PIN 143401,PUNJAB,INDIA
………………................................………………..
………………………………………............…… ……………................................…………………..

X3454532478
jftLVdj.k la-@Registration No:. ……………...........… jftLVªhdj.k dh rkjh[k@ Date of Registration
30/04/2025
……............................
fVIi.kh@Remarks(if any)………......................................................................................................…………………
03/05/2025
tkjh djus dh rkjh[k @ Date of issue:.....….................tkjhdjus okys izkf/kdkjh ds gLrk{kj@ Signature of the issuing authority Verified by pdfFiller
05/01/2025

tkjhdjus okys izkf/kdkjh dk irk @ Address of the issuing authority


AMRITSAR PUNJAB INDIA .
eqgj@Seal

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