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This document is a birth certificate issued by the Gram Panchayat Ambala Zone-I, Haryana, India. It certifies the birth of Harnaz Kaur, born on June 17, 2022 at Bansal Nursing Home in Ambala City, Haryana. Her parents are Parvinder Kaur and Sukhpal Singh, residing in Akbar Pur village, Ambala. The registration number for this birth is B-2022: 6-90016-001065 and the certificate was issued on June 21, 2022.

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sukhpal singh
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557 views1 page

MPDF

This document is a birth certificate issued by the Gram Panchayat Ambala Zone-I, Haryana, India. It certifies the birth of Harnaz Kaur, born on June 17, 2022 at Bansal Nursing Home in Ambala City, Haryana. Her parents are Parvinder Kaur and Sukhpal Singh, residing in Akbar Pur village, Ambala. The registration number for this birth is B-2022: 6-90016-001065 and the certificate was issued on June 21, 2022.

Uploaded by

sukhpal singh
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
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सं.

1 हरयाणा सरकार प-5


NO. 1 GOVERNMENT OF HARYANA FORM-5
वाय सेवाएं वभाग
DEPARTMENT OF HEALTH SERVICES
ाम पंचायत अबाला जोन -I
GRAM PANCHAYAT AMBALA ZONE-I

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा हरयाणा 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 HARYANA 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 अबाला जोन -I तहसील अबाला िजला अंबाला
राय/संघ देश हरयाणा, 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 GRAM PANCHAYAT AMBALA ZONE-I OF TAHSIL/BLOCK AMBALA OF DISTRICT AMBALA OF STATE/UNION TERRITORY HARYANA, INDIA.

नाम / NAME: HARNAAZ KAUR लंग / SEX: महला / FEMALE

जम तथ / DATE OF BIRTH:


जम थान/ PLACE OF BIRTH:
17-06-2022
BANSAL NURSING HOME AMBALA CITY
SEVENTEENTH-JUNE-TWO THOUSAND TWENTY TWO

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


PARVINDER KAUR SUKHPAL SINGH

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

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:

AKBAR PUR, AHMEDPUR, , NARAINGARH, AMBALA, HARYANA AKBAR PUR, AHMEDPUR, NARAINGARH, AMBALA,
HARYANA

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


B-2022: 6-90016-001065 21-06-2022

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
21-06-2022
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
ाम पंचायत अबाला जोन -I
GRAM PANCHAYAT AMBALA ZONE-I

UPDATED ON :
21-06-2022 00:00:00

"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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