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    94 2022 Certificate

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    tapastarai3
    Hhjh ggff fgh fhhb ryhh.

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    94 2022 Certificate

    Uploaded by

    tapastarai3
    19 views1 page
    Hhjh ggff fgh fhhb ryhh.

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    94_2022_Certificate

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    19 views1 page

    94 2022 Certificate

    Uploaded by

    tapastarai3
    Hhjh ggff fgh fhhb ryhh.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    (English Version) FORM NO-7/8

    ISSUE NO : 595/2022

    GOVERNMENT OF ODISHA
    DEPARTMENT OF HEALTH AND FAMILY WELFARE
    BIRASAL CHC

    CERTIFICATE OF BIRTH
    Issued under Section 12/17 of the Registration of Births and Deaths Act, 1969 and Rules of Odisha
    Births and Deaths, Rule 2001
    This is to certify that following information has been taken from the original records of birth which is in the
    register for BIRASAL CHC of Tahasil KANKADAHAD
    of District DHENKANAL of State ODISHA

    14/03/2022
    Date of Birth................................................................... KANTOL, KANTOL,
    Permanent Address....................................................................
    FEMALE
    Sex.................................................................................... KANKADAHAD, DHENKANAL, ODISHA, INDIA
    ........................................................................................................
    SAIPRATIKSHYA DEHURY
    Name................................................................................ ...................................................................................................
    BRAHMANANDA DEHURY
    Name of Father.............................................................. KANKADAHADA GOVT. HOSPITAL ,
    Place of Birth................................................................................
    MAMATA PRADHAN
    Name of Mother............................................................. KANKADAHADA , DHENKANAL
    ........................................................................................................
    16/03/2022
    Date Of Registration..................................................... 94/2022
    Registration No............................................................................

    Signature Not Verified

    Digitally signed by
    DR PRADEEP KUMAR JENA
    DR.PRADEEP KUMAR JENA
    Date: 2022.06.03 11:09:35
    Issuing Authority
    IST
    Reason: Birth Certificate
    Registrar, Births & Deaths
    Date :03/06/2022 Location: BIRASAL BIRASAL CHC
    Note: It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature. This certificate is issued as per section 4,5&6 of Information Technology
    Act 2000 and its subsequent amendments in 2008. For any query or verification, please visit https://www.birthdeath.odisha.gov.in Tampering of this certificate will attract penal action.

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