c Civil Registration System

Birth Reporting X

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To

Death Reporting X

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सं. 1
No. 1
 
  प्रपत्र-5
Form-5
 
 
 
   
 
 
 
   
       
   
BIRTH CERTIFICATE
   
         
         
 
 
         
         
 
 
         
         
 
/ Name: RANI KUMARI / Sex: FEMALE
/ Date of Birth:
03-05-2020
THREE MAY TWO THOUSAND TWENTY
/ Place of birth:
AT BARJO POST RAJDHANWAR THANA DHANWAR DISTTGIRDIH JHARKHAND 825412
/ Name of Mother:
BHUNESHWARI DEVI
/ Name of father:
.BHUNESHWAR YADAV
/ MOTHER'S AADHAR:
XXXXXXXX1516

/ FATHER'S AADHAR
XXXXXXXX3799
/ 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: 09-90347-001250
 / Date of Registration:
05-08-2022
/ Remarks (if any):
---

/ Date of issue:
06-02-24 07:32:13
/ Issuing Authority :



Updated on :
06-02-24 07:32:13
 
   
 
"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".
" " / "Ensure registration of every birth and death"
 
         
       
         
 
 
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