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This document is a birth certificate for Asmina Khatun, born on December 20, 2005 in Rupahi Town, Assam, India. It provides details of her birth such as date, place, parents' names and addresses. The certificate was issued on February 13, 2024 by the Registrar of Births and Deaths of Rupahi Sub Division as a legal document verifying the registration of Asmina Khatun's birth.

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4K views1 page

MPDF

This document is a birth certificate for Asmina Khatun, born on December 20, 2005 in Rupahi Town, Assam, India. It provides details of her birth such as date, place, parents' names and addresses. The certificate was issued on February 13, 2024 by the Registrar of Births and Deaths of Rupahi Sub Division as a legal document verifying the registration of Asmina Khatun's birth.

Uploaded by

omarputhikhaiti
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

FORM-5

NO. 1 GOVERNMENT OF ASSAM


DEPARTMENT OF HEALTH AND FAMILY WELFARE
RUPAHI SD

BIRTH CERTIFICATE

(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE ASSAM
REGISTRATION OF BIRTHS & DEATHS RULES 1999)

THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS
THE REGISTER FOR RUPAHI SD OF TAHSIL/BLOCK SAMAGURI OF DISTRICT NAGAON OF STATE/UNION TERRITORY ASSAM, INDIA.

NAME: ASMINA KHATUN SEX: FEMALE

DATE OF BIRTH: PLACE OF BIRTH:


20-12-2005 RUPAHITOWN, RUPAHI,
TWENTIETH-DECEMBER-TWO THOUSAND FIVE RUPAHI TOWN,SAMAGURI, NAGAON,
ASSAM, 782125

NAME OF MOTHER: NAME OF FATHER:


UMME KULCHUM KHALILUR RAHMAN

MOTHER'S AADHAAR NO: FATHER'S AADHAAR NO:


XXXXXXXX4139
XXXXXXXX6937

ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD: PERMANENT ADDRESS OF PARENTS:
RUPAHI TOWN,
RUPAHI, RUPAHI TOWN, , SAMAGURI, NAGAON, ASSAM- 782125 RUPAHI TOWN,
RUPAHI, RUPAHI TOWN, SAMAGURI, NAGAON,
ASSAM- 782125

REGISTRATION NUMBER: DATE OF REGISTRATION:


B-2024: 18-01702-000093 13-02-2024

REMARKS (IF ANY):


TOB : 7.00 AM

DATE OF ISSUE: ISSUING AUTHORITY :


13-02-2024
REGISTRAR (BIRTH & DEATH)

RUPAHI SD

UPDATED ON :
13-02-2024 [Link]

"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".

ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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