NAME / : SATYAM KUMAR

SEX / : MALE

AADHAAR NUMBER / :

DATE OF BIRTH / :

03-09-2022

THREE SEPTEMBER TWO THOUSAND TWENTY TWO

PLACE OF BIRTH / :

AT BARJO POST RAJDHANWAR THANA DHANWAR DISTTGIRDIH JHARKHAND 825412

NAME OF MOTHER / :

BHUNESHWARI DEVI

NAME OF FATHER / :

.BHUNESHWAR YADAV

AADHAAR NUMBER OF MOTHER / :

XXXX-XXXX-1516

AADHAAR NUMBER OF FATHER / :

XXXX-XXXX-3799

ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD /
:

AT BARJO POST RAJDHANWAR THANA DHANWAR DISTTGIRDIH JHARKHAND 825412

PERMANENT ADDRESS OF PARENTS / :

AT BARJO POST RAJDHANWAR THANA DHANWAR DISTTGIRDIH JHARKHAND 825412

REGISTRATION NUMBER / :

B-2024: 09-90347-003536

DATE OF REGISTRATION / :

05-08-2022

REMARKS (IF ANY) / :

DATE OF ISSUE / :

06-02-24 07:35:36

S.No. 1

FORM 5

Updated On: 30-06-2024 05:35:24

‘ThisQRcodecanbeusedtochecktheauthenticityofthe

certificate’

SIGNATURE OF ISSUING AUTHORITY / :

"ENSURE REGISTRATION OF EVERY BIRTH AND DEATH / "