BC Alen
BC Alen
B0060178-2010204
FORM No.5
(See Rule 8)
tIcf kÀ¡mÀ
GOVERNMENT OF KERALA
\KcImcy hIp¸v
DEPARTMENT OF URBAN AFFAIRS
kÀ«n^n¡äv \ðIp¶ Xt±iØm]\¯nsâ t]cv ASqÀ ap\nkn¸menÁn
Name of Local Government issuing certificate Adoor Municipality
P\\ kÀ«n^n¡äv
BIRTH CERTIFICATE
(Issued Under Section 12)
(1969þse P\\þacW cPnkvt{Sj³ BIvSnse 12þmw hIp¸pw 1999þse tIcf P\\þacW cPnkvt{Sj³ N«§fnse 8þmw
N«hpw A\pkcn¨v \ðIp¶Xv).
(Issued under Section 12 of the Registration of Births and Deaths Acts, 1969 and Rule 8 of the Kerala Registration of Births and Deaths
Rules, 1999)
Xmsg ]dbp¶ hnhc§Ä tIcf kwØm\¯nse ]¯\wXn« Pnñbnse ASqÀ Xmeq¡nse ASqÀ ap\nkn¸menÁn þse
(Xt±iØm]\w) AÊð P\\ cPnÌdnð \n¶v FSp¯n«pÅhbmsW¶v km£ys¸Sp¯p¶p.
This is to certify that the following information has been taken from the original record of birth which is the register for (local area/local
body) Adoor Municipality of Taluk Adoor of District Pathanamthitta of State Kerala.
---t]cv/ Name : Ae³ ]n A\njv / ALEN P ANISH
---B¬/s]¬/ Sex B¬/ Male
:
---P\\ XobXn/ Date of Birth : 19/10/2020
NINETEEN/OCTOBER/TWO THOUSAND TWENTY
---P\\ Øew/ Place of Birth :
tlmfn t{Imkv Bip]{Xn, ASpÀ/
Address of the parents at the time of : Plamthundil Veedu, Kadampanad P O, Adoor, Pathanamthitta, 691552
birth of the child
amXm]nXm¡fpsS Øncamb : ¹mwXpïnð hoSv, IS¼\mSv ]n H, ASqÀ, ]¯\wXn«, 691552
taðhnemkw
---\ðIp¶ XobXn/ Date of Issue : 30/10/2020 (18:34) Last Updated on 30/10/2020 (09:44)