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    This document is a birth certificate issued by the Municipality of Bhusawal, Maharashtra, India. It certifies the birth of Avaneesh Sumit Chavan, born on February 18, 2020 at Arpan Hospital in Bhusawal. The birth is registered with registration number B-2019: 27-90013-000605. The certificate provides details of the child's name, sex, date of birth, place of birth and names and identification numbers of the mother and father.

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    MPDF

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    Ratnesh Shukla
    215 views1 page
    This document is a birth certificate issued by the Municipality of Bhusawal, Maharashtra, India. It certifies the birth of Avaneesh Sumit Chavan, born on February 18, 2020 at Arpan Hospital in Bhusawal. The birth is registered with registration number B-2019: 27-90013-000605. The certificate provides details of the child's name, sex, date of birth, place of birth and names and identification numbers of the mother and father.

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    This document is a birth certificate issued by the Municipality of Bhusawal, Maharashtra, India. It certifies the birth of Avaneesh Sumit Chavan, born on February 18, 2020 at Arpan Hospital in Bhusawal. The birth is registered with registration number B-2019: 27-90013-000605. The certificate provides details of the child's name, sex, date of birth, place of birth and names and identification numbers of the mother and father.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    215 views1 page

    MPDF

    Uploaded by

    Ratnesh Shukla
    This document is a birth certificate issued by the Municipality of Bhusawal, Maharashtra, India. It certifies the birth of Avaneesh Sumit Chavan, born on February 18, 2020 at Arpan Hospital in Bhusawal. The birth is registered with registration number B-2019: 27-90013-000605. The certificate provides details of the child's name, sex, date of birth, place of birth and names and identification numbers of the mother and father.

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    © All Rights Reserved
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    of 1

    म ां क 1 महारा शासन फॉम -5

    NO. 1 GOVERNMENT OF MAHARASHTRA FORM-5


    आरो य वभाग DEPARTMENT
    OF HEALTH

    MUNICIPALITY BHUSAWAL

    ज म माणप
    BIRTH CERTIFICATE

    ज म व मृ यु न दणी अ ध नयम, 1969 य कलम 12/17 आिण मह र ज म आिण मृ यु न दणी नयम, 2000 चे नयम 8/13 अ वये दे यतिले िहे . (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)

    म आ णत कर य त येत िहे क , ख ल ल म हती ज म य मूळ अ भलेख य न दवह तून घे य त िल िहे , जी क , त लुक भुस वळ , आजहजळग ां व ,
    मह र र य , भ रत य न दवह त उ लेख िहे .
    THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR MUNICIPALITY
    BHUSAWAL OF TAHSIL/BLOCK BHUSAWAL OF DISTRICT JALGAON OF STATE/UNION TERRITORY MAHARASHTRA, INDIA.

    न व / NAME: AVANEESH SUMIT CHAVAN लांग / SEX: पुर ष / MALE

    ज म त र ख / DATE OF BIRTH: ज म ठक ण/ PLACE OF BIRTH:


    18-02-2020 ARPAN HOSPITAL BHUSAWAL
    EIGHTEENTH-FEBRUARY-TWO THOUSAND TWENTY

    िईचे पूण न व / NAME OF MOTHER: व डल ां चे पूण न व / NAME OF FATHER:


    SHUBHANGI SUMIT CHAVAN SUMIT MUKUND CHAVAN

    िध र म ां क / MOTHER'S AADHAAR NO: िध र म ां क / FATHER'S AADHAAR NO:


    XXXXXXXX6746
    XXXXXXXX8425

    ब ळ य ज म य वेळी िई-व डल ां च प / ADDRESS OF PARENTS AT THE TIMEOFBIRTH िई-व डल ां च क यमच प / PERMANENT ADDRESS O
    FPARENTS:
    OF THE CHILD:
    NILYAM BANGLOW, PLOT NO.12, HARIKUL NAGAR, NILYAM BANGLOW, PLOT NO.12, HARIKUL NAGAR, JAIL
    JAIL ROAD, NASHIK, , NASHIK, NASHIK, MAHARASHTRA ROAD, NASHIK, NASHIK, NASHIK, MAHARASHTRA

    न दणी दन ां क / DATE OF REGISTRATION: 01-


    03-2020
    न दणी म ां क / REGISTRATION NUMBER:
    B-2019: 27-90013-000605

    शेर / REMARKS (IF ANY):


    ---

    म णप द यच दन ां क / DATE OF ISUE:01- नग मत करण रे धक र / ISSUING AUTHORITY :


    03-2020
    ररज ाार (ज म व मृ यु)
    REGISTRAR (BIRTH & DEATH)

    MUNICIPALITY BHUSAWAL

    UPDATED ON :
    01-03-2020 11:42:01

    "THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY" " 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 ज म आआण मृ यूची घटना न द याची खा ाी करा " / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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