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    MPDF

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    birth

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    MPDF

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    birth

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    mpdf

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    10 views1 page

    MPDF

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    sandeep gupta
    birth

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    © All Rights Reserved
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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
    सामुदायक वाय क कुशीनगर
    COMMUNITY HEALTH CENTRE KUSHINAGAR

    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 सामुदायक वाय क कुशीनगर तहसील कसया िजला कुशीनगर
    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 COMMUNITY HEALTH CENTRE KUSHINAGAR OF TAHSIL/BLOCK KASYA OF DISTRICT KUSHINAGAR OF STATE/UNION TERRITORY UTTAR
    PRADESH, INDIA.

    नाम / NAME: VIVAN KUMAR लंग / SEX: पुरष / MALE

    जम तथ / DATE OF BIRTH:


    जम थान/ PLACE OF BIRTH:
    17-02-2017
    CHC KUSHINAGAR
    SEVENTEENTH-FEBRUARY-TWO THOUSAND SEVENTEEN

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


    DIMPAL AKHILESH KUMAR

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

    बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME OF माता-पता के थायी पता/ PERMANENT ADDRESS OF
    BIRTH OF THE CHILD: PARENTS:
    PARASIYA MISKARI,
    SONUGHAT, , DEORIA, DEORIA, UTTAR PRADESH- 274401 PARASIYA MISKARI,
    SONUGHAT, DEORIA, DEORIA,
    UTTAR PRADESH- 274401

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


    B:2017-9-91530-002017 17-02-2017

    टपणी / REMARKS (IF ANY):


    ---

    जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
    30-03-2024
    रिजार (जम एवं मृयु)
    REGISTRAR (BIRTH & DEATH)
    सामुदायक वाय क कुशीनगर
    COMMUNITY HEALTH CENTRE KUSHINAGAR

    UPDATED ON :
    30-03-2024 19:13:09

    "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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