BIRTH CERTIFICATE
BIRTH CERTIFICATE
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE ASSAM REGISTRATION OF BIRTHS & DEATHS RULES 1999.)
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR MUNICIPAL BOARD GOLAGHAT OF TAHSIL/BLOCK GOLAGHAT OF DISTRICT GOLAGHAT OF STATE/UNION TERRITORY ASSAM, INDIA.
NAME / NAME : RUMI KHATUN
SEX / SEX : FEMALE
AADHAAR NUMBER / AADHAAR NO:
DATE OF BIRTH / DATE OF BIRTH :
02-02-1998
TWO FEBRAURY ONE THOUSAND NINE HUNDRED NINTY EIGHT
PLACE OF BIRTH / PLACE OF BIRTH :
KATLAMARI GOPALPARA ASSAM 783330
NAME OF MOTHER / NAME OF MOTHER :
SOBIYA KHATUN
NAME OF FATHER / NAME OF FATHER :
ROBIYAL ALI
AADHAAR NUMBER OF MOTHER / AADHAAR NO:
AADHAAR NUMBER OF FATHER / AADHAAR NO:
ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD /
ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD:
KATLAMARI GOPALPARA ASSAM 783330
PERMANENT ADDRESS OF PARENTS / PERMANENT ADDRESS OF PARENTS:
KATLAMARI GOPALPARA ASSAM 783330
REGISTRATION NUMBER / REGISTRATION NUMBER:
B-2024: 09-90347-008979
DATE OF REGISTRATION / DATE OF REGISTRATION :
05-08-2018
REMARKS (IF ANY) / REMARKS :
DATE OF ISSUE / ISSUING AUTHORITY:
10-06-24 12:08:14
S.No. 1
NO. 1
GOVERNMENT OF ASSAM
DEPARTMENT OF HEALTH AND FAMILY WELFARE
FORM 5
FORM-5
Updated On: 30-06-2024 05:35:24
‘ThisQRcodecanbeusedtochecktheauthenticityofthe
certificate’
SIGNATURE OF ISSUING AUTHORITY / ISSUING AUTHORITY:
REGISTRAR (BIRTH & DEATH)
नगरपालिका बोर्ड गोलाघात
MUNICIPAL BOARD GOLAGHAT
"ENSURE REGISTRATION OF EVERY BIRTH AND DEATH / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH"