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This document is a birth certificate for Medhansh Thakur, born on July 30th 2022 at Sadar Hospital Madhubani in Bihar, India. The certificate provides details of the child such as name, sex, date and place of birth. It also lists the names and identification numbers of the mother Neha Kumari and father Mukesh Kumar Thakur. The registration number for this birth is B-2022: 10-90268-003221 and the certificate was issued on September 19th 2022 by the Registrar of Births and Deaths at Sadar Hospital Madhubani.

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MUKESH KUMAR
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0% found this document useful (0 votes)
672 views1 page

MPDF

This document is a birth certificate for Medhansh Thakur, born on July 30th 2022 at Sadar Hospital Madhubani in Bihar, India. The certificate provides details of the child such as name, sex, date and place of birth. It also lists the names and identification numbers of the mother Neha Kumari and father Mukesh Kumar Thakur. The registration number for this birth is B-2022: 10-90268-003221 and the certificate was issued on September 19th 2022 by the Registrar of Births and Deaths at Sadar Hospital Madhubani.

Uploaded by

MUKESH KUMAR
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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सं.

1 बहार सरकार प-5


NO. 1 GOVERNMENT OF BIHAR FORM-5
योजना और वकास वभाग
DEPARTMENT OF PLANNING AND DEVELOPMENT
सदर अपताल मधुबनी
SADAR HOSPITAL MADHUBANI

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा बहार जम मृयु रिजकरण नयम, 1999 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 BIHAR REGISTRATION OF
BIRTHS & DEATHS RULES 1999)
यह मािणत कया जाता है ननलिखत सूचना जम के मूल अभलेख से ल गई है जो क सदर अपताल मधुबनी तहसील मधुबनी िजला मधुबनी
राय/संघ देश बहार, 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 SADAR HOSPITAL MADHUBANI OF TAHSIL/BLOCK MADHUBANI OF DISTRICT MADHUBANI OF STATE/UNION TERRITORY BIHAR, INDIA.

नाम / NAME: MEDHANSH THAKUR लंग / SEX: पुरष / MALE

जम तथ / DATE OF BIRTH:


जम थान/ PLACE OF BIRTH:
30-07-2022
SADAR HOSPITAL MADHUBANI
THIRTIETH-JULY-TWO THOUSAND TWENTY TWO

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


NEHA KUMARI MUKESH KUMAR THAKUR

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

XXXXXXXX7923

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME माता-पता के थायी पता/ PERMANENT ADDRESS OF PARENTS:
OF BIRTH OF THE CHILD:
BIJALPURA, BIJALPURA,
LOHA, BIJALPURA, , BENIPATTI, MADHUBANI, BIHAR LOHA, BIJALPURA, BENIPATTI, MADHUBANI,
BIHAR

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


B-2022: 10-90268-003221 19-09-2022

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
19-09-2022
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
सदर अपताल मधुबनी
SADAR HOSPITAL MADHUBANI

UPDATED ON :
19-09-2022 13:12:27

"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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