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Birth Certificate

This document is a birth certificate issued under the Registration of Birth and Death Act of 1969 and Rules of 2018 by the Government of Gujarat, India. It certifies the birth of a male child named Ved, born on August 19, 2022 at SHANTAM MATERNITY AND LAPAROSCOPY HOSPITAL to parents Kinjalben and Tejendrabhai Vyas. Their address at the time of birth is provided. The registration number, date, and certificate number are listed along with the signature and name of the issuing authority. A disclaimer at the bottom notes that this is a computer generated extract and to contact the registrar if any objections.

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Tushar Vyas
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5K views1 page

Birth Certificate

This document is a birth certificate issued under the Registration of Birth and Death Act of 1969 and Rules of 2018 by the Government of Gujarat, India. It certifies the birth of a male child named Ved, born on August 19, 2022 at SHANTAM MATERNITY AND LAPAROSCOPY HOSPITAL to parents Kinjalben and Tejendrabhai Vyas. Their address at the time of birth is provided. The registration number, date, and certificate number are listed along with the signature and name of the issuing authority. A disclaimer at the bottom notes that this is a computer generated extract and to contact the registrar if any objections.

Uploaded by

Tushar Vyas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Ys\½}FORM - 5

ȤkK^hSd^Dh^
GOVERNMENT OF GUJARAT
8^sƊ]7WpXˆ^ah^Dƣ]hRia[hF
DEPARTMENT OF HEALTH AND FAMILY WELFARE

Kƛ\̆\hRX́
BIRTH CERTIFICATE

Kƛ\7Wp\^RWҭVRj7iViW]\y~WjD_\yzy7Wp
ȤkK^hSKƛ\\^RWҭVRjiW]\szxy€WhiW]\€ȺkKZ 
(Issued under Section 12/17 of the Registration of Birth and Death Act,1969
.
and Rule 8 of the Gujarat Registration of Birth and Deaths Rules 2018)

8Tj̆\hRjSD^ah\h58apJpD°WjIpWj\hˆeSjKƛ\WhȺl`^°DP½\h5Tj_pah\h58ajJpȐ[h^SWhȤkK^hS^hԌ]Wh[haWF^‰Kƣ_hWh
[haWF^ShɀkDhWh[haWF^˴h\be°^Wh^‰KƨN^\h5Jp

This is to certify that the following information has been taken from the original record of birth which is in the register for Village/City
Bhavnagar(C) of Taluka Bhavnagar(C) of District Bhavnagar of Gujarat State, India.

Wh\Name : apUVED ĤiSSex : ‫ڧڔ‬Ἐ‫ڟ‬Male

Kƛ\Sh^ŽEDate of Birth : 19/08/2022 Kƛ\ƨT`Place of Birth :

Friday, August 19, 2022 SHANTAM MATERNITY AND LAPAROSCOPY


HOSPITAL
\hShȵk5Wh\Name of Mother : iXShȵk5Wh\Name of Father :

ἷ‫ړڬږڛڇٱڀ‬Kinjalben SpȐƛ̃[h:ƥ]hdTejendrabhai Vyas

Zh`DWhKƛ\d\]p\hShiXShȵk5d^WhȺk5Address of parents \hShiXShȵk5Dh]\jd^WhȺk5Permanent Address of


at the time of Birth of child : Parents :
b.h/Patelsamaj ni Vadi,Oppgit Shreeji b.h/Patelsamaj ni Vadi,Oppgit Shreeji
Mandap,Gadhada,Botad,Gujarat-364750 / ‫ڦړڇڤژڠڛڬڊڔڅٻڦږ‬ Mandap,Gadhada,Botad,Gujarat-364750 ‫ڦړڇڤژڠڛڬڊڔڅٻڦږ‬
‫پڦڌڤڝ‬Ḏ‫ڏڦڂڔ‬ṝ‫ڦ‬ἓ‫ڴڹڻڸںڷڏڤښڇڧڂڑڤڊگږڤڌڍڂڔڌٱژ‬ ‫پڦڌڤڝ‬Ḏ‫ڏڦڂڔ‬ṝ‫ڦ‬ἓ‫ڴڹڻڸںڷڏڤښڇڧڂڑڤڊگږڤڌڍڂڔڌٱژ‬

WҭVRj˲\h5DRegistration No. : 8919 WҭVRjWjSh^ŽERegistration Date : 22/08/2022

^Ž\hD½d
iabpcWҭV Remarks (if any) : ̆\hRX́W5Z^Certificate No. : B202210626280

/0

̆\hRX́DhQŽ8Ɯ]hWjSh^ŽEDate of issue : ̆\hRX́8XWh^dĂhiVDh^ŽWjdeŽSignature of Issuing


Authority :
06/09/2022 ..................................................................................

Registrar ( Birth & Death )


^‰Kƨ˼h^
Kƛ\\^R
Bhavnagar(C) , Bhavnagar

..

Disclaimer : This is a computer generated extract of birth register. In case of any objection, please contact concerned Registrar (B&D).
v9fklgwekHu60zhwM/f41Zojb25gJfCTimRT7uk7cN/7tdym5u660RjiNU3Em6rw

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