महाराट शासन
मांक 1 GOVERNMENT OF MAHARASHTRA
No. 1 आरोय िवभाग फॉम-5
DEPARTMENT OF HEALTH FORM-5
MUNICIPAL CORPORATION OF GREATER MUMBAI S WARD
जम माणप
BIRTH CERTIFICATE
जम व मृ यु नदणी अिधिनयम, 1969 या कलम 12/17 आिण महाराट जम आिण मृ यु नदणी िनयम , 2000 चे िनयम 8/13 अवये दे यात आले आहे .
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE
MAHARASHTRA REGISTRATION OF BIRTHS & DEATHS RULES 2000.)
हे मािणत करयासाठी आहे की खालील मािहती जमाया मूळ नदीतून घे तली गे ली आहे जी नदणी आहे राय/कदशािसत दे श महाराट , भारतातील तहसील/लॉक अं बरनाझ
िजहा ठाणे ये थील अं बरनाथ नगर पिरषद, अं बरनाथ.
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE
REGISTER FOR AMBERNATH MUNICIPAL COUNCIL, AMBERNAΤΗ OF TAHSIL/BLOCK AMBERNAΤΗ OF DISTRICT THANE OF STATE/UNION
TERRITORY MAHARASHTRA, INDIA
नाव / NAME : MAYANK RATANLAL PARIHAR
िलं ग / SEX : MALE
जम तारीख | DATE OF BIRTH:
19-04-2024
जम िठकाण / PLACE OF BIRTH :
YASHDA HOSPITAL BHANDUP S-WARD GREATER MUMBAI
GR,MUMBAI SUBURBAN MAHARASHTRA
आईचे पूण नाव / NAME OF MOTHER:
REKHA RATANLAL PARIHAR
विडलांचे पूण नाव / NAME OF FATHER :
RATANLAL BHAWARLAL PARIHAR
ई आयडी / MOTHERS AADHAAR NO :
XXXXXXXX
ई आयडी / FATHERS AADHAAR NO:
XXXXXXXX4788
बाळाया जमायावे ळी आई-विडलांचा पा / ADDRESS OF PARENTS AT THE TIME OF BIRTH
OF THE CHILD :
आई-विडलांचा कायमचा पा / PERMANENT ADDRESS OF PARENTS:
RAMABAI HOSPITAL CHEMBUR CAMP ,CHEMBUR 400071
NEAR AMBEDKAR BHAVAN SHRAMJIVI NAGAR VASANTRAO NAIK
MARG CHEMBUR MUMBAI-400071
नदणी मांक / REGISTRATION NUMBER:
B-2024: 27-90280-001719
नदणी िदनांक / DATE OF REGISTRATION:
29-04-2024
शे रा / REMARKS (IF ANY):
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माणप िदयाचा िदनांक / DATE OF ISSUE :
31-07-2024 िनगिमत करणारे ािधकारी / ISSUING AUTHORITY :
रिजटार (जम व मृ यु )
REGISTRAR (BIRTH & DEATH
MUNICIPALCORPORATION OF GREATER MUMBAI S WARD)
UPDATED ON :
31-07-2024 09:59:18
"THIS IS A COMPUTER GENERATED CERTIFICATE."
" THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-JULY-2015 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES".
" ये क जम आिण मृ यूची घटना नदयाची खाी करा " / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "
