Birth Certificate WB

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at or a8 is No.1 (GOVERNMENT OF WEST BENGAL FORMS © DEPARTMENT OF HEALTH AND FAMLY WELFARE [BLOCK PRIMARY HEALTH CENTRE VIDYASAGAR Tors BIRTH CERTIFICATE. (ab omert3o Fairer Ber sea 22/28 9 2000 sof a3] Fahy AL L0 sgl Ron rove) ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE WEST BENGAL REGISTRATION OF BIRTHS & DEATHS RULES 2000) 22 yeh 9 -aeore a Rove Pee 3 a sro ne sane, Bae POSH a, Pb AA re, er 9m Re ee ‘THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR BLOCK PRIMARY HEALTH CENTRE VIDYASAGAR OF TAHSIL/BLOCK GHATAL OF DISTRICT PASCHIM MEDINIPUR OF STATE/UNION TERRITORY ‘WEST BENGAL, INDIA, "48 NAME: fe 1 SEX: SIFU] / AADHAAR NO. o00000x ses f / DATE OF BIRTH: an een ‘-V PLACE OF BIRTH: SION / NAME OF MOTHER: ‘or a8) NAME OF FATHER: ‘S1SF4 SIH 900 / MOTHER'S AADHLAAR NO: ‘ior 09N/ FATHER'S AADHAAR NO, frosts es fot ~ sem Sp / ADDRESS OF PARENTS AT THE TIME OF fei sjsu xniy PERMANENT ADDRESS OF PARENTS: BIRTH OF THE CHILD: Falie4) ot / REGISTRATION NUMBER: ‘ialis*) 4 DATE OF REGISTRATION: 579 REMARKS (IP ANY) >? ead ‘ie fet DATE OF ISSUE: “RSS / ISSUING AUTHORITY: awe Coa 8 Wo)) ‘SUB-REGISTRAR (BIRTH & DEATH) BLOCK PRIMARY HEALTH CENTRE VIDVASAGAR uppaTeD on’ “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". + eR yoLFetienrFRPPe FET / ENSURE REGISTRATION OF EVERY BIRTHLAND DEATIC’ {ATA 0 A

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