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    मोहम्मद जैद जन्म ढकिया

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    zaidaman93

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    मोहम्मद जैद जन्म ढकिया

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    zaidaman93
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    मोहम्मद जैद जन्म ढकिया

    Uploaded by

    zaidaman93

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    © All Rights Reserved
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    FORM5

    GOVERNMENT OF UTTAR PRADESH


    DEPARTMENT OF MEDICAL AND HEALTH
    DHAKIA

    BIRTH CERTIFICATE

    (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS AND DEATHS ACT, 1969 AND RULE 8/13 OF THE UTTAR
    PRADESH REGISTRATION OF BIRTHS & DEATHS RULES 2002)
    THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH
    WHICH IS THE REGISTER FOR DHAKIA OF TAHSIL/BLOCK AMROHA OF DISTRICT AMROHA OF STATE/UNION TERRITORY OF
    UTTAR PRADESH, INDIA

    NAME: MOHAMMAD ZAID SEX: MALE

    AADHAAR NUMBER:

    DATE OF BIRTH: PLACE OF BIRTH:


    17-04-2006 VILLAGE DHAKIYA, POST DIDAULI, DHAKIA, AMROHA, AMROHA,
    SEVENTEENTH-APRIL-TWO THOUSAND SIX UTTAR PRADESH, 244222

    NAME OF MOTHER: NAME OF FATHER:


    SAJDA KHATOON QAMAR ALAM

    AADHAAR NUMBER OF MOTHER: AADHAAR NUMBER OF FATHER:

    ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD: PERMANENT ADDRESS OF PARENTS:
    VILLAGE DHAKIYA, POST DIDAULI, DHAKIA, AMROHA, AMROHA, VILLAGE DHAKIYA, POST DIDAULI, DHAKIA, AMROHA, AMROHA,
    UTTAR PRADESH, 244222 UTTAR PRADESH, 244222

    REGISTRATION NUMBER: DATE OF REGISTRATION:


    B202409616640000088 04-07-2024

    REMARKS (IF ANY):

    DATE OF ISSUE:
    04-07-2024

    Updated On : 04-07-2024 17:47:24

    SIGNATURE OF ISSUING AUTHORITY :


    Registrar (BIRTH & DEATH)
    ‘This QR code can be used to check the authenticity of the
    certificate’ DHAKIA

    "ENSURE REGISTRATION OF EVERY BIRTH AND DEATH"

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