Applicant Details

Salutation First Name Middle Name Last Name

Mrs. Mohammad NA Islam
Date Of Birth Age Gender Date of Application
27-JUNE-1955 68 Male 12-MARCH-2024
Mobile Number Email Aadhaar
9949277105 mdehsanraza123@gmail.com 575966446045

Place Of Birth

Country State District Sub Division

India West Bengal Uttar Dinajpur Islampur
Block/Municipality/Municipal Block/Municipality/Municipal
Rural or Urban Village Ward
Corporation Corporation Name
R Raniganj
B Karandighi
Police Station Post Office Address Line 1 Address Line 2

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DALKHOLA Patnaur BO t2PATNUR RANIGANJ
Pincode Birth Place Type Place Name
733201 Home PATNUR
ic
Details Of Child

Salutation First Name Middle Name Last Name

tr

Mrs. Hasnara NA Khatun

is

Date Of Birth Time Of Birth Gender Birth Weight(in Kgs)

5-MAY-1979 5:30 AM Female 2.5
D

Details Of Father
e-

Same As Applicant Salutation First Name Middle Name

YES Mrs. Mohammad NA
Last Name Completed Level Of Education Occupation Aadhaar
Islam vii Cultivation 575966446045
Religion
Islam

Details Of Mother

Same As Applicant Salutation First Name Middle Name

NO Mrs. Sabera NA
Last Name Completed Level Of Education Occupation Aadhaar
Khatun iv House Maker 540902887630
Religion Age at The Time Of Marriage Age at The Time Of This Birth
Islam 19 21

Permanent Address Of Parent

Generated on : 2024-03-12T22:45:53.204

P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
maintained by TATA Consultancy Services Ltd.
Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen
 Same Address As Country State District
Not Same India West Bengal Uttar Dinajpur
Block/Municipality/Municipal Block/Municipality/Municipal
Sub Division Rural or Urban
Corporation Corporation Name
Islampur R
B Karandighi
Village Ward Police Station Post Office Address Line 1
Raniganj Dalkhola Patnaur BO PATNOUR
Address Line 2 Pincode
RANIGANJ 733201

Present Address

Same Address As Country State District

Not Same India West Bengal Uttar Dinajpur
Block/Municipality/Municipal Block/Municipality/Municipal
Sub Division Rural or Urban
Corporation Corporation Name

.0
Islampur R
B Karandighi
Village Ward Police Station Post Office Address Line 1
Raniganj Dalkhola
t2Patnaur BO Patnur
Address Line 2 Pincode
Raniganj 733201
ic

Address of Parents at the time of this birth

tr

Same Address As Country State District

is

Not Same India West Bengal Uttar Dinajpur

Block/Municipality/Municipal Block/Municipality/Municipal
D

Sub Division Rural or Urban

Corporation Corporation Name
Islampur R
e-

B Karandighi
Village Ward Police Station Post Office Address Line 1
Raniganj Dalkhola Patnaur BO Raniganj
Address Line 2 Pincode Birth Place Type Place Name
NA 733201 Home Patnur

Residence of Mother

Same Address As Country State District

Not Same India West Bengal Uttar Dinajpur
Block/Municipality/Municipal Block/Municipality/Municipal
Sub Division Rural or Urban
Corporation Corporation Name
Islampur R
B Karandighi
Village Ward Police Station Post Office Address Line 1
Raniganj Dalkhola Patnaur BO Patnur
Address Line 2 Pincode Town Or Village Town Name
Raniganj 733201 VILLAGE NA

Details of 5 local Person granting okay to Delayed Registration

Generated on : 2024-03-12T22:45:53.301

P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
maintained by TATA Consultancy Services Ltd.
Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen
 Address Of Person One Address Of Person Two
Name Of Person One Name Of Person Two
Patnur, Raniganj, Karandighi, Patnur, Raniganj, Karandighi,
Sikandar Samsuddin
Uttar Dinajpur Uttar Dinajpur
Address Of Person Three Address Of Person Four
Name Of Person Three Name Of Person Four
Patnur, Raniganj, Karandighi, Patnur, Raniganj, Karandighi,
Suleman Ashiya
Uttar Dinajpur Uttar Dinajpur
Address Of Person Five
Name Of Person Five
Patnur, Raniganj, Karandighi,
Mojibur Rahaman
Uttar Dinajpur

Other Details

Number of children born alive

Type of Attention at Delivery Duration of pregnancy (in
to the mother so far including Method of Delivery
weeks)
this child Normal
Relatives or Others 42
7

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t2
ic
tr
is
D
e-

Generated on : 2024-03-12T22:45:53.401

P & AR Department,Government of West Bengal. All rights reserved. | Site Hosted By Webel Technology Limited (WTL). |Designed,developed,and
maintained by TATA Consultancy Services Ltd.
Version ID: 1.0 Beta | Site best viewed on Chrome/Firefox/Edge, on a 16:9 aspect ratio screen