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Radhika

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Bhupendar Kumar
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27 views2 pages

Radhika

I want to required notes

Uploaded by

Bhupendar Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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सं.

1 प्रपत्र-5
NO. 1 उत्तर प्रदेश सरकार
GOVERNMENT OF UTTAR PRADESH FORM-5
चिकित्सा एवं स्वास्थ्य विभाग
DEPARTMENT OF MEDICAL AND HEALTH
जिला चिकित्सालय (पुरुष) अलीगढ
DISTRICT HOSPITAL (MALE) ALIGARH

जन्म प्रमाण पत्र


BIRTH CERTIFICATE

(जन्म मृत्यु रजिस्ट्रीकरण अधिनियम, 1969 की धारा 12 / 17 तथा उत्तर प्रदेश जन्म मृत्यु रजिस्ट्रीकरण नियम, 2002 के नियम 8/13 के अंतर्गत जारी किया गया )
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE UTTAR PRADESH REGISTRATION
OF BIRTHS & DEATHS RULES 2002.)

यह प्रमाणित किया जाता है निम्नलिखित सूचना जन्म के मूल अभिलेख से ली गई है जो कि जिला चिकित्सालय (पुरुष) अलीगढ तहसील कोइल जिला अलीगढ़ राज्य/संघ प्रदेश उत्तर प्रदेश,भारत के रजिस्टर
में उल्लिखित है।
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR DISTRICT HOSPITAL (MALE) ALIGARH OF TAHSIL/BLOCK KOIL OF DISTRICT ALIGARH OF STATE/UNION TERRITORY UTTAR PRADESH, INDIA.

नाम / NAME: RADHIKA


लिंग / SEX: FEMALE
जन्म तिथि / DATE OF BIRTH:
जन्म स्थान / PLACE OF BIRTH:
30-10-2016
RAMNAGAR MUSEPUR JALAL ALIGARH
THIRTY OCTOBER TWO THOUSAND SIXTEEN

माता का नाम / NAME OF MOTHER: पिता का नाम / NAME OF FATHER:


POOJA GAUTAM
SUBHASH CHANDRA
आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX7572
XXXXXXXX9121
बच्चे के जन्म के समय माता-पिता का पता / ADDRESS OF PARENTS AT THE TIME OF माता-पिता के स्थायी पता / PERMANENT ADDRESS OF PARENTS:
BIRTH OF THE CHILD:
RAMNAGAR MUSEPUR JALAL ALIGARH
RAMNAGAR MUSEPUR JALAL ALIGARH

पंजीकरण संख्या / REGISTRATION NUMBER: पंजीकरण तारीख / DATE OF REGISTRATION:


B-2023: 9-05963-78187
05-06-2023
टिप्पणी / REMARKS (IF ANY):
----

जारी करने की तिथि / DATE OF ISSUE:


07-06-23 05:20:04 जारी करने वाला प्राधिकारी / ISSUING AUTHORITY :

UPDATED ON :
07-06-23 05:20:04

"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".

"प्रत्‍येक जन्‍म एवं मृत्‍यु का पंजीकरण सुनिश्‍चित करें" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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