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Birth Certificate: Government of Uttar Pradesh

This document is a birth certificate for Naazreen Bano, born on August 15th, 2014 in Ajanavar, Bisauli, Budaun, Uttar Pradesh, India. It provides details of her name, sex, date and place of birth, names and Aadhaar numbers of her parents (Ummmatul Nisha and Shoeb Ahmad), and addresses of her parents both at the time of her birth and currently. The certificate was issued on October 15th, 2021 by the Registrar of Births and Deaths of Grama Panchayat Ajanavar.

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29K views1 page

Birth Certificate: Government of Uttar Pradesh

This document is a birth certificate for Naazreen Bano, born on August 15th, 2014 in Ajanavar, Bisauli, Budaun, Uttar Pradesh, India. It provides details of her name, sex, date and place of birth, names and Aadhaar numbers of her parents (Ummmatul Nisha and Shoeb Ahmad), and addresses of her parents both at the time of her birth and currently. The certificate was issued on October 15th, 2021 by the Registrar of Births and Deaths of Grama Panchayat Ajanavar.

Uploaded by

SC Fitness Guru
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

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

ाम पंचायत अजनावर


GRAMA PANCHAYAT AJANAVAR

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 ाम पंचायत अजनावर तहसील बसौल िजला बदायूँ 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
GRAMA PANCHAYAT AJANAVAR OF TAHSIL/BLOCK BISAULI OF DISTRICT BUDAUN OF STATE/UNION TERRITORY UTTAR PRADESH, INDIA.

नाम / NAME: NAAZREEN BANO लंग / SEX: महला / FEMALE

जम तथ / DATE OF BIRTH: जम थान/ PLACE OF BIRTH:


15-08-2014
FIFTEENTH-AUGUST-TWO THOUSAND FOURTEEN AJANAVAR,BISAULI , BUDAUN,
UTTAR PRADESH

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


UMMATUL NISHA SHOEB AHMAD

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX1754
XXXXXXXX6307

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME माता-पता के थायी पता/ PERMANENT ADDRESS OF PARENTS:
OF BIRTH OF THE CHILD:
SEMRI PURSOTTAMPUR , KOTWALI DEHAT, SEMRI PURSOTTAMPUR, KOTWALI DEHAT,
SEMRI PURSHOTTAMPUR, SEMARIPURSHOTTAMPUR, , LAMBHUA, SULTANPUR, SEMRI PURSHOTTAMPUR, SEMARIPURSHOTTAMPUR, LAMBHUA,
UTTAR PRADESH- 228001 SULTANPUR,
UTTAR PRADESH- 228001

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


B-2021: 9-10332-000427 15-10-2021

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
15-10-2021
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
ाम पंचायत अजनावर
GRAMA PANCHAYAT AJANAVAR

UPDATED ON :
15-10-2021 [Link]

"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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