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366 views

MPDF

Uploaded by

Aqil
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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GOVERNMENT OF WEST BENGAL

No. 1
DEPARTMENT OF HEALTH AND FAMILY WELFARE FORM-5

MAHESHTALA MUNICIPALITY

BIRTH CERTIFICATE

(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE WEST
BENGAL

THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE
REGISTER FOR MAHESHTALA MUNICIPALITY OF TAHSIL/BLOCK MAHESHTALA OF DISTRICT SOUTH TWENTY FOUR PARGANAS OF
STATE/UNION TERRITORY WEST BENGAL, INDIA.

/ NAME : MD NAUSHAD

/ SEX : पु ष / MALE
/ DATE OF BIRTH:
22-02-1982 / PLACE OF BIRTH :
TWENTY TWO -FEBRUARY-ONE THOUSAND NINE HUNDRED AND EIGHTY KOLKATA
TWO

/ NAME OF MOTHER: / NAME OF FATHER :


AKHTARI BEGUM MD TAHIR

/ MOTHERS AADHAAR NO : / FATHERS AADHAAR NO:

/ ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD : / PERMANENT ADDRESS OF PARENTS:
5/2, JANNAGAR ROAD CIRCUS AVENUE KOLKATA 700017 5/2, JANNAGAR ROAD CIRCUS AVENUE KOLKATA 700017

/ REGISTRATION NUMBER: / DATE OF REGISTRATION:


B-2024: 35-90347-009296 13-08-2013

/ REMARKS (IF ANY):

/ DATE OF ISSUE :
13-08-2024 / ISSUING AUTHORITY :

REGISTRAR (BIRTH & DEATH)

MAHESHTALA MUNICIPALITY

UPDATED ON :
13-08-2024 12:04:35

"THIS IS A COMPUTER GENERATED CERTIFICATE."


" 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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