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This document is a birth certificate for Mahek Gaurav Rajput born on July 8th, 2016 at the District Women & Child Hospital in Jalna, Maharashtra, India. It provides information such as the names of the parents (Rajshri Gaurav Rajput and Gaurav Rajput), place of birth, registration number and date, and addresses of the parents. The certificate was issued on March 18th, 2019 by the Registrar of Births & Deaths at the Municipality of Jalna.

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2K views1 page

MPDF

This document is a birth certificate for Mahek Gaurav Rajput born on July 8th, 2016 at the District Women & Child Hospital in Jalna, Maharashtra, India. It provides information such as the names of the parents (Rajshri Gaurav Rajput and Gaurav Rajput), place of birth, registration number and date, and addresses of the parents. The certificate was issued on March 18th, 2019 by the Registrar of Births & Deaths at the Municipality of Jalna.

Uploaded by

kishornannavare450
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Birth Certificate Information

मांक 1 महारा शासन फॉम-5

NO. 1 GOVERNMENT OF MAHARASHTRA FORM-5


आरोय वभाग
DEPARTMENT OF HEALTH

MUNICIPALITY JALNA

जम माणप
BIRTH CERTIFICATE

जम व मृयु नदणी अधनयम, 1969 या कलम 12/17 आिण महारा जम आिण मृयु नदणी नयम, 2000 चे नयम 8/13 अवये देयात आले आहे. (ISSUED
UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE MAHARASHTRA REGISTRATION OF BIRTHS &
DEATHS RULES 2000)

मािणत करयात येत आहे क, खालल माहती जमाया मूळ अभलेखाया नदवहतून घेयात आल आहे , जी क महानगरपालका जालना , तालुका जालना ,
िजहा जालना , महारा राया, भारत या नदवहत उलेख आहे.
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR
MUNICIPALITY JALNA OF TAHSIL/BLOCK JALNA OF DISTRICT JALNA OF STATE/UNION TERRITORY MAHARASHTRA, INDIA.

नाव / NAME: MAHEK GAURAV RAJPUT / महेक गौरव राजपुत लंग / SEX: महला / FEMALE

जम तारख / DATE OF BIRTH: जम ठकाण/ PLACE OF BIRTH:


08-07-2016 DIST.WOMEN & CHILD HOSPITAL JALNA/िजहा महला व बाल रणालय
EIGHTH-JULY-TWO THOUSAND SIXTEEN जालना

आईचे पूण नाव / NAME OF MOTHER: वडलांचे पूण नाव / NAME OF FATHER:
RAJSHRI GAURAV RAJPUT / राजी गौरव राजपुत GAURAV RAJPUT / गौरव राजपुत

आधार मांक / MOTHER'S AADHAAR NO: आधार मांक / FATHER'S AADHAAR NO:
XXXXXXXX2890
XXXXXXXX5522

बाळाया जमायावेळी आई-वडलांचा पा / ADDRESS OF PARENTS AT THE TIME आई-वडलांचा कायमचा पा/ PERMANENT ADDRESS OF PARENTS:
OF BIRTH OF THE CHILD:

JALNA, JALNA, JALNA, JALNA, JALNA, JALNA,


MAHARASHTRA MAHARASHTRA

जालना (म ल), जालना, जालना, जालना (म ल), जालना, जालना,


महारा महारा

नदणी मांक / REGISTRATION NUMBER: नदणी ​दनांक / DATE OF REGISTRATION:


B-2017: 27-90121-009495 15-11-2017

शेरा / REMARKS (IF ANY):


---

माणप दयाचा दनांक / DATE OF ISSUE: नगमत करणारे ाधकार / ISSUING AUTHORITY :
18-03-2019
रिजार (जम व मृयु)
REGISTRAR (BIRTH & DEATH)

MUNICIPALITY JALNA

UPDATED ON :
18-03-2019 12:39:03

"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 आिण मृयूची घटना नदयाची खाी करा " / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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