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Deepika

This document is a birth certificate issued by the Nagar Panchayat Martinganj in Uttar Pradesh, India. It certifies the birth of Deepika, daughter of Radha Kumari and Arun Kumar, who was born on December 17, 2023 in Nagar Panchayat Martinganj. The certificate provides details of the parents such as their names, addresses and Aadhaar numbers. It also includes registration number and date of registration. The issuing authority and date of issue are stated at the end.

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153 views

Deepika

This document is a birth certificate issued by the Nagar Panchayat Martinganj in Uttar Pradesh, India. It certifies the birth of Deepika, daughter of Radha Kumari and Arun Kumar, who was born on December 17, 2023 in Nagar Panchayat Martinganj. The certificate provides details of the parents such as their names, addresses and Aadhaar numbers. It also includes registration number and date of registration. The issuing authority and date of issue are stated at the end.

Uploaded by

akshay224202
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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सं.

1 उर देश सरकार प-5


NO. 1 GOVERNMENT OF UTTAR PRADESH FORM-5
चकसा एवं वाय वभाग
DEPARTMENT OF MEDICAL AND HEALTH
नगर पंचायत मािटनगंज
NAGAR PANCHAYAT MARTINGANJ

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा उर देश जम मृयु रिजकरण नयम, 2002 के नयम 8/13 के अंतगत जार कया
गया )
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE UTTAR PRADESH
REGISTRATION OF BIRTHS & DEATHS RULES 2002)

यह मािणत कया जाता है ननलिखत सूचना जम के मूल अभलेख से ल गई है जो क नगर पंचायत मािटनगंज तहसील लालगंज िजला आजमगढ
राय/संघ देश उर देश, भारत के रिजटर म उिलिखत है ।
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR NAGAR PANCHAYAT MARTINGANJ OF TAHSIL/BLOCK LALGANJ OF DISTRICT AZAMGARH OF STATE/UNION TERRITORY UTTAR PRADESH,
INDIA.

नाम / NAME: DEEPIKA लंग / SEX: महला / FEMALE

जम तथ / DATE OF BIRTH:


जम थान/ PLACE OF BIRTH:
17-12-2023
NAGAR PANCHAYAT MARTINGANJ
SEVENTEENTH-DECEMBER-TWO THOUSAND TWENTY THREE

माता का नाम / NAME OF MOTHER: पता का नाम / NAME OF FATHER:


RADHA KUMARI ARUN KUMAR

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX7927
XXXXXXXX2791

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME OF माता-पता के थायी पता/ PERMANENT ADDRESS OF
BIRTH OF THE CHILD: PARENTS:
DEVKALI MAFI, DHEMA VAISHYA, BIKAPUR, AYODHYA, UTTAR PRADESH- 224284 DEVKALI MAFI, DHEMA VAISHYA, BIKAPUR, AYODHYA,
UTTAR PRADESH- 224284

पंजीकरण संया / REGISTRATION NUMBER: पंजीकरण तारख / DATE OF REGISTRATION:


B2024: 9-76341-001739 22-12-2023

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
07-02-2024
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
नगर पंचायत मािटनगंज
NAGAR PANCHAYAT MARTINGANJ

UPDATED ON :
07-02-2024 18:12:16

"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".

" येक जम एवं मृयु का पंजीकरण सुनचत कर" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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