NAME / : RANI BAI

SEX / : FEMALE

AADHAAR NUMBER / :

DATE OF BIRTH / :

25-03-2019

TWENTY FIVE MARCH TWO THOUSAND NINTEEN

PLACE OF BIRTH / :

VILLAGE BARAGAON POST RANIPURA BUNDI RAJATHAN 323024

NAME OF MOTHER / :

SEEMA RAI

NAME OF FATHER / :

.RAMSWARUP

AADHAAR NUMBER OF MOTHER / :

AADHAAR NUMBER OF FATHER / :

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

VILLAGE BARAGAON POST RANIPURA BUNDI RAJATHAN 323024

PERMANENT ADDRESS OF PARENTS / :

VILLAGE BARAGAON POST RANIPURA BUNDI RAJATHAN 323024

REGISTRATION NUMBER / :

B-2024: 09-90347-002286

DATE OF REGISTRATION / :

05-08-2022

REMARKS (IF ANY) / :

DATE OF ISSUE / :

13-03-24 10:57:23

S.No. 1

HINDI

GOVT.RAJASTHAN

GOVERNMENT OF RAJASTHAN DIRECTORATE OF ECONOMICS AND STATISTICS

S.M. HOSPITAL KATARIYA

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 / "