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1 FORM5
GOVERNMENT OF JHARKHAND
DEPARTMENT OF ECONOMICS & STATISTICs
BIRTH CERTIFICATE
(USSUED UNDER SECTION 12/17OF THE REGISTRATION OF BIRTHS AND DEATHS ACT, 1969 AND RULE &/13 OF THE
JHARKHAND REGISTRATION OF BIRTHS & DEATHS RULES 2009)
THISIS TOCERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THEORIGINAL RECORD OF BIRTH
WHICH IS THE REGISTER FOR GRAMA PANCHAYAT KAIRABANK OF TAHSIL/BLOCK SARATH OF DISTRICT DEOGHAR OF
STATE/UNION TERRITORY OF JHARKHAND, INDIA
TS | EID:
4fafN|DATE OF BIRTH:
U H/ PLACE OF BIRTH:
29-09-2020
MUNDA, oJHADIH, MUNDA, SARATH, DEOGHAR, JHARKHAND, 815353
TWENTY-NINTH-SEPTEMBER-TWO THOUSAND TWENTY jSI, 30SIT`IE, HST, HRY, }qR, IIRGS, 815353
HII OI 3TATR TGR I AADHAAR NUMBER OF MOTHER: f I IT 3JTER jer AADHAAR NUMBER OF FATHER:
XXXX-XXXX-3239 XXXX-XXXX-0156
MUNDA, ojHADIH, MUNDA, SARATH, DEOGHAR, JHARKHAND, 815353 / MUNDA, OJHADIH, MUNDA, SARATH, DEOGHAR, JHARKHAND, 815353
Hs1, 30ASE, HST, HA, }qr, ANGG, 815353 jSi, ITsIE, HSI, HRA,}4, SIRGG, 815353
"This QR code can be used to check the authenticity of the Registrar (BIRTH & DEATH)
certificate'
GRAMA PANCHAYAT KAIRABANK
"HÀG y ËHy yGU HHtd bÌ /ENSURE REGISTRATION OF EVERY BIRTH AND DEATH"