NAME / : BHARGAVA LAKKA

SEX / : MALE

AADHAAR NUMBER / :

DATE OF BIRTH / :

04-02-2021

FOUR FEBURUEY TWO THOUSAND TWENTY ONE

PLACE OF BIRTH / :

VILLAGE GJM LAKE GARDENS POST RAMAGONDANAHALLI BOREWELL RD WHITEFIRLD PHASE 2 BANGALURU KARNATKA 560066

NAME OF MOTHER / :

MADHHU LAKKA

NAME OF FATHER / :

.VENKATRAMANA LAKKA

AADHAAR NUMBER OF MOTHER / :

AADHAAR NUMBER OF FATHER / :

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

VILLAGE GJM LAKE GARDENS POST RAMAGONDANAHALLI BOREWELL RD WHITEFIRLD PHASE 2 BANGALURU KARNATKA 560066

PERMANENT ADDRESS OF PARENTS / :

VILLAGE GJM LAKE GARDENS POST RAMAGONDANAHALLI BOREWELL RD WHITEFIRLD PHASE 2 BANGALURU KARNATKA 560066

REGISTRATION NUMBER / :

B-2024: 09-90347-004180

DATE OF REGISTRATION / :

05-08-2022

REMARKS (IF ANY) / :

DATE OF ISSUE / :

19-02-24 01:54:43

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 / "