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31 views1 page

Adobe Scan Dec 06, 2024 (10)

Uploaded by

istakdada440
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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S FORM 5

S.No. 1 UT 5
GhHÍGF 1
GOVERNMENT OF HARYANA

DEPARTMENT OF HEALTH SERVICES


MUNICIPALITY PUNAHANA

BIRTH CERTIFICATE

SSUED UNDER SECTION 12/17 OF THEREGISTRATION OF BIRTHSAND DEATHS ACT, 1969 AND RULE 8/13 OF THE
HARYANA REGISTRATION OF BIRTHS & DEATI:S RULES 2002)

IHIS ISTo CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH
WHICH IS THE REGISTER FOR MUNICIPALITY PUNAHANAOF TAHSIL/BLoCK PUNAHANA OF DISTRICT NUHOF
STATE/UNION TERRITORY OF HARYANA, INDIA

NAME | 4: MAHIRA /HRRI SEX /fI: FEMALE / 4ftl

EID / 3ATSS:

DATE OF BIRTH/ af: PLACE OF BIRTH / GARA:


04-07-2024 RIHANA NURSING HOME AND JACHCHA BACHCHA KENDRA
PUNHANA, PUNAHANA, PUNAHANA, NUH, HARYANA/ RErI aT BIH S
FOURTH-JULYTWO THOUSAND TWENTY FOUR

NAME OF MOTHER / HIT I TH: NAME OF FATHER /ftar1 4:


APSANA /34IHI ISTAK|SFTS

AADHAAR NUMBER OF MOTHER / I I 3IUR jR: AADHAAR NUMBER OF FATHER /GT I AIar :
XXXX-XXXX-6199 XXXX-XXXX-7618

ADDRESS OFF PARENTS AT THE TIME OF BIRTH OF THE CHILD / a


PERMANENT ADDRESS OF PARENTS /HTTI-a RIit YGT:

PUNAHANA, PUNAHANA, NUH, HARYANA, 122508 /yFET1, y-EIHI, TE. PUNAHANA, PUNAHANA, NUH, HARYANA, 122508 /g-E, gHI, E.
gRurT, 122508
aftyru, 122508

REGISTRATION NUMBER/GtRUT HET: DATE OF REGISTRATION /t u io:


B202406901870003934 26-07-2024

REMARKS (IF ANY) / feqof (uf& as ):

DATE OF ISSUE / G 5U faf:


26-07-2024

Updated On : 26-07-2024 14:05:10 Ted


SIGNATURE OF ISSUING AUTHORITY / rar BTISR :
REGISTRAR (BIRTH & DEATH)
the
to check the authenticity of
"This OR code can be used MUNICIPALITY PUNAHANA
certificate

yI OT YofioU TAft "


NSURE REGISTRATION OF EVERY BIRTH AND DEATH /SEUH

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