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sT6rps: Government Nadu

This document is a birth certificate issued by the Coimbatore City Municipal Corporation in Tamil Nadu, India, under the Registration of Births and Deaths Act of 1969. It certifies the birth details of an individual, including their name, sex, date and place of birth, and the names of their parents. The certificate includes a registration number and the date of registration.

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145 views1 page

sT6rps: Government Nadu

This document is a birth certificate issued by the Coimbatore City Municipal Corporation in Tamil Nadu, India, under the Registration of Births and Deaths Act of 1969. It certifies the birth details of an individual, including their name, sex, date and place of birth, and the names of their parents. The certificate includes a registration number and the date of registration.

Uploaded by

srichu007pk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Government of Tamil Nadu

N° 107154
C.A. No.

COIMBATORE CITY MUNICIPAL CORPORATION


COIMBATORE, TAMILNADU,INDIA
Form No. 5 - LIlg6uD 6T6ÖT. 5
(SeeRule 8- 8p Lutiš6)

|BIRTH CERTIFICATE - Lp sT6rps


(ssued Under Section 12/17 of the Registration of Births and Deaths
Act 1969 and
Rule & of Tamil Nadu Registration of Births and Deaths Rules 2000)

This is to certify that the fo lowing information has been taken


eposesoewe
from the original record of Birth which is in the register for
(Ward ). f Coimbatore City Municipal

Corporation of Coimbatore District,Tamilnadu State.

dbssdr 5sadsa s6lgsn0 rgleu Gsubsni orauL6.


GnuJLb55Tr b6sF9 ........... enL Genb3 66
pu uCauLoelG aGssLulLae
QUu
are ers pssubdps.
Name /

Sex I ureleb

Date of Birth / pbs Gs 6220oZ


Place of Birth / Lpbs Qo :nCOmMsoromT

Name of Father l sngulei Quui

Name of Mother I smuli Quir

Permanent Residential Address of the Parents :

Registration No. I usla aGT Il42


Date of Registration / usl Qsus Gss 12.2.02

ATORE CITY
GOLIL
MUNICA
BIRTH AL
AND
Date / G) \) DEATH Signature of issuing authority
SnGls flüueufl naQumÜuD
Sedtlp3Seng
CORFOR4
Registrar of Birth And Deaths
oimbatore MPL Corporatioa

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