Scribd Logo
Upload

Welcome to Scribd!

  • 233 views

    Birth Certificate

    Uploaded by

    patelsujal8200

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Birth Certificate

    Uploaded by

    patelsujal8200
    233 views1 page

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    233 views1 page

    Birth Certificate

    Uploaded by

    patelsujal8200

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    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]WhXhNR‰Kƣ_hWh
    IhRƨ\hShɀkDhWhUh5SD^sPŽ˴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
    Dantkarodi of Taluka Chanasma of District Patan of Gujarat State, India.

    Wh\Name : XN°_ɅkK_Ȣk\h^PATEL SUJALKUMAR ĤiSSex : ‫ڧڔ‬Ἐ‫ڟ‬Male

    Kƛ\Sh^ŽEDate of Birth : 21/11/2003 Kƛ\ƨT`Place of Birth :

    Friday, November 21, 2003 255,patelvas,dantkarodi


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

    ‫ٷڛڬڊڔ‬Ἷ‫ژ‬᷷‫ړڬږڤڛ‬PATEL URMILABEN XN°_ZpI^[h9PATEL BECHARBHAI

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


    at the time of Birth of child : Parents :
    255,patelvas,dantkarodi / ‫ڦڌگښڀڏٱڤڑڠڤڝڛڬڊڔ‬ 255,patelvas,dantkarodi ‫ڦڌگښڀڏٱڤڑڠڤڝڛڬڊڔ‬

    WҭVRj˲\h5DRegistration No. : 5 WҭVRjWjSh^ŽERegistration Date : 25/11/2003

    ^Ž\hD½d iabpcWҭV Remarks (if any) : ̆\hRX́W5Z^Certificate No. : B200310008725

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


    Authority :
    17/06/2024 ..................................................................................

    Registrar ( Birth & Death )


    ^‰Kƨ˼h^ Kƛ\\^R
    Dantkarodi , Patan

    ..

    Disclaimer : This is a computer generated extract of birth register. In case of any objection, please contact concerned Registrar (B&D).
    xUih8X+S7pj0LNHveHXEnuNY+lW1g+NwSSOy7dgTtNAbqm0yJmvQhDznrlgTCqyS

    You might also like