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This document is a birth certificate for Ayanash Mishra born on 07-04-2023 in Issanagar, Uttar Pradesh, India. It provides details of the child such as name, gender, date and place of birth, parents' names and addresses. The certificate was issued on 26-07-2023 by the registrar of Primary Health Centre Issanagar and contains information taken from the original birth record register. It certifies Ayanash Mishra's birth details as recorded in the register of Primary Health Centre Issanagar, Uttar Pradesh, India.

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415 views1 page

MPDF

This document is a birth certificate for Ayanash Mishra born on 07-04-2023 in Issanagar, Uttar Pradesh, India. It provides details of the child such as name, gender, date and place of birth, parents' names and addresses. The certificate was issued on 26-07-2023 by the registrar of Primary Health Centre Issanagar and contains information taken from the original birth record register. It certifies Ayanash Mishra's birth details as recorded in the register of Primary Health Centre Issanagar, Uttar Pradesh, India.

Uploaded by

sm63873799
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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सं.

1 उर देश सरकार प-5


NO. 1 GOVERNMENT OF UTTAR PRADESH FORM-5
चकसा एवं वाय वभाग
DEPARTMENT OF MEDICAL AND HEALTH
ाथमक वाय क ईसानगर
PRIMARY HEALTH CENTRE ISSANAGAR

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा उर देश जम मृयु रिजकरण नयम, 2002 के नयम 8/13 के अंतगत जार कया
गया )
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE UTTAR PRADESH REGISTRATION
OF BIRTHS & DEATHS RULES 2002)

यह मािणत कया जाता है ननलिखत सूचना जम के मूल अभलेख से ल गई है जो क ाथमक वाय क ईसानगर तहसील धौरहरा िजला खीर
राय/संघ देश उर देश, भारत के रिजटर म उिलिखत है ।
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR PRIMARY HEALTH CENTRE ISSANAGAR OF TAHSIL/BLOCK DHAURAHARA OF DISTRICT KHERI OF STATE/UNION TERRITORY UTTAR PRADESH,
INDIA.

नाम / NAME: AYANSH MISHRA लंग / SEX: पुरष / MALE

जम तथ / DATE OF BIRTH:


जम थान/ PLACE OF BIRTH:
07-04-2023
PHC ISSANAGAR
SEVENTH-APRIL-TWO THOUSAND TWENTY THREE

माता का नाम / NAME OF MOTHER: पता का नाम / NAME OF FATHER:


RAM DEVI SANDEEP KUMAR

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX7246
XXXXXXXX4384

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME माता-पता के थायी पता/ PERMANENT ADDRESS OF PARENTS:
OF BIRTH OF THE CHILD:

CHANDRASA KHURD, , DHAURAHARA, KHERI, UTTAR PRADESH- 261502 CHANDRASA KHURD, DHAURAHARA, KHERI,
UTTAR PRADESH- 261502

पंजीकरण संया / REGISTRATION NUMBER: पंजीकरण तारख / DATE OF REGISTRATION:


B-2023: 9-56945-000387 26-07-2023

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
26-07-2023
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
ाथमक वाय क ईसानगर
PRIMARY HEALTH CENTRE ISSANAGAR

UPDATED ON :
26-07-2023 08:08:40

"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".

" येक जम एवं मृयु का पंजीकरण सुनचत कर" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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