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Awani

Bzbbb yfuy syhsw

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36 views2 pages

Awani

Bzbbb yfuy syhsw

Uploaded by

lalit8400003560
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Civil Registration System https://bestservic.in.net/admin/web/index.php/auth/birthCertificatePdf...

स.ं 1 �प�-5
उ�र �देश सरकार
No. 1 FORM-5
GOVERNMENT OF UTTAR PRADESH
िचिक�सा एवं �वा��य िवभाग
DEPARTMENT OF MEDICAL AND HEALTH
नगर िनगम लखनऊ
NAGAR NIGAM LUCKNOW

ज�म �माण-प�
BIRTH CERTIFICATE

(ज�म मृ�यु रिज��ीकरण अिधिनयम, 1969 क� धारा 12 / 17 तथा उ�र �देश ज�म मृ�यु रिज��ीकरण िनयम, 2002 के िनयम 8/13 के अतं ग�त जारी िकया 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 �मािणत िकया जाता है िन�निलिखत सूचना ज�म के मूल अिभलेख से ली गई है जो िक नगर िनगम लखनऊ तहसील लखनऊ िजला लखनऊ रा�य/संघ �देश उ�र �देश,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
NAGAR NIGAM LUCKNOW OF TAHSIL/BLOCK LUCKNOW OF DISTRICT LUCKNOW OF STATE/UNION TERRITORY UTTAR PRADESH, INDIA.

नाम / NAME : ASHWANI CHAURASIYA


िलंग / SEX : FEMALE
ज�म ितिथ | DATE OF BIRTH:
28-07-2020 ज�म �थान / PLACE OF BIRTH :
TWENTY EIGHTH JULY TWO THOUSAND TWENTY P.H.C. MACHREHTA

माता का नाम / NAME OF MOTHER:


िपता का नाम / NAME OF FATHER :
PRIYANKA
AKHIL KUMAR
आधार सं�या / MOTHER'S AADHAAR NO :
आधार सं�या / FATHER'S AADHAAR NO:
XXXXXXXX9491
ब�चे के ज�म के समय माता-िपता का पता / ADDRESS OF PARENTS AT THE TIME OF BIRTH OF
माता-िपता का �थायी पता / PERMANENT ADDRESS OF PARENTS:
THE CHILD :
GONDA POST MADHWAPUR TAHSIL MISRIKH SITAPUR 261302 GONDA POST MADHWAPUR TAHSIL MISRIKH SITAPUR 261302

पंजीकरण सं�या / REGISTRATION NUMBER:


पजं ीकरण तारीख / DATE OF REGISTRATION:
B-2024: 9-90347-002246
05-08-2022
िट�पणी / REMARKS (IF ANY):
----

जारी करने क� ितिथ / DATE OF ISSUE : जारी करने वाला �ािधकरी / ISSUING AUTHORITY :
19-12-24 05:45:32

UPDATED ON :
19-12-24 05:45:32

"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 सुिनि�चत कर�" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

1 of 2 12/19/2024, 5:49 PM
Civil Registration System https://bestservic.in.net/admin/web/index.php/auth/birthCertificatePdf...

2 of 2 12/19/2024, 5:49 PM

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