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Uttar Pradesh Birth Certificate Format

This document is a birth certificate issued by the Gram Panchayat Ajanavar in Uttar Pradesh, India. It certifies the birth of Mohit, born on February 20, 2013 in Ajanavar to mother Sunita and father Kamlesh Kumar. It provides their addresses at the time of birth and currently. The registration number and date are also included, along with a note that this is a computer-generated certificate approved by the Government of India as a valid legal document.

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11K views1 page

Uttar Pradesh Birth Certificate Format

This document is a birth certificate issued by the Gram Panchayat Ajanavar in Uttar Pradesh, India. It certifies the birth of Mohit, born on February 20, 2013 in Ajanavar to mother Sunita and father Kamlesh Kumar. It provides their addresses at the time of birth and currently. The registration number and date are also included, along with a note that this is a computer-generated certificate approved by the Government of India as a valid legal document.

Uploaded by

SC Fitness Guru
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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  • Birth Certificate: Contains official identification details such as the individual's name, date and place of birth, registration details, and issuing authority information as per the Uttar Pradesh Government records.

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
ाम पंचायत अजनावर
GRAMA PANCHAYAT AJANAVAR

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 ाम पंचायत अजनावर तहसील बसौल िजला बदायूँ 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
GRAMA PANCHAYAT AJANAVAR OF TAHSIL/BLOCK BISAULI OF DISTRICT BUDAUN OF STATE/UNION TERRITORY UTTAR PRADESH, INDIA.

नाम / NAME: MOHIT लंग / SEX: पुरष / MALE

जम तथ / DATE OF BIRTH: जम थान/ PLACE OF BIRTH:


20-02-2013
TWENTIETH-FEBRUARY-TWO THOUSAND THIRTEEN AJANAVAR,BISAULI , BUDAUN,
UTTAR PRADESH

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


SUNITA KAMLESH KUMAR

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX1247
XXXXXXXX1838

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 PARENTS:
BIRTH OF THE CHILD:
DOHARI, MAUDAHA, DOHARI, MAUDAHA,
KUNHETA, DOHRI, , MAUDAHA, HAMIRPUR, UTTAR PRADESH- 210507 KUNHETA, DOHRI, MAUDAHA, HAMIRPUR,
UTTAR PRADESH- 210507

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


B-2021: 9-10332-000400 15-10-2021

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
15-10-2021
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
ाम पंचायत अजनावर
GRAMA PANCHAYAT AJANAVAR

UPDATED ON :
15-10-2021 13:54:41

"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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