मांक 1 महारा शासन फॉम-5

NO. 1 GOVERNMENT OF MAHARASHTRA FORM-5

आरोय वभाग
DEPARTMENT OF HEALTH

RURAL HOSPITAL TASGAON

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 ामण रणालय तासगाव , तालुका तासगाव
, िजहा सांगल , 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
RURAL HOSPITAL TASGAON OF TAHSIL/BLOCK TASGAON OF DISTRICT SANGLI OF STATE/UNION TERRITORY MAHARASHTRA, INDIA.

नाव / NAME: अभयराज शेखर थोरात / ABHAYRAJ SHEKHAR THORAT लंग / SEX: पुरष / MALE

जम तारख / DATE OF BIRTH:

जम ठकाण/ PLACE OF BIRTH:
12-05-2020
RURAL HOSPITAL TASGAON/RURAL HOSPITAL TASGAON
TWELFTH-MAY-TWO THOUSAND TWENTY

आईचे पूण नाव / NAME OF MOTHER: वडलांचे पूण नाव / NAME OF FATHER:
शीतल शेखर थोरात / SHITAL SHEKHAR THORAT शेखर गोपाळ थोरात / .SHEKHAR GOPAL  THORAT

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

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:

तासगाव (म ल), तासगाव, सांगल, तासगाव (म ल),तासगाव, सांगल,

महारा- 416312 महारा- 416312

TASGAON, TASGAON, SANGLI, TASGAON, TASGAON, SANGLI,

MAHARASHTRA- 416312 MAHARASHTRA- 416312

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

B-2020: 27-90593-000017 13-05-2020

शेरा / REMARKS (IF ANY):

TOB 4.4PM

माणप दयाचा दनांक / DATE OF ISSUE: नगमत करणारे ाधकार / ISSUING AUTHORITY :
26-10-2020
रिजार (जम व मृयु)
REGISTRAR (BIRTH & DEATH)

RURAL HOSPITAL TASGAON

UPDATED ON :
26-10-2020 15:45:55

"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 "