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    Birth Certificate: Government of Uttar Pradesh

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    shivam
    This document is a birth certificate for Ali Husain born on February 1st, 2003 in Bhinga, Gonda, Uttar Pradesh, India. It provides details of his parents Kutabunnisha and Saleem, including their addresses. The certificate was issued on August 21st, 2021 by the Registrar of Births and Deaths of Grama Panchayat Gousiha and contains the registration number and date.

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

    Birth Certificate: Government of Uttar Pradesh

    Uploaded by

    shivam
    428 views1 page
    This document is a birth certificate for Ali Husain born on February 1st, 2003 in Bhinga, Gonda, Uttar Pradesh, India. It provides details of his parents Kutabunnisha and Saleem, including their addresses. The certificate was issued on August 21st, 2021 by the Registrar of Births and Deaths of Grama Panchayat Gousiha and contains the registration number and date.

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    This document is a birth certificate for Ali Husain born on February 1st, 2003 in Bhinga, Gonda, Uttar Pradesh, India. It provides details of his parents Kutabunnisha and Saleem, including their addresses. The certificate was issued on August 21st, 2021 by the Registrar of Births and Deaths of Grama Panchayat Gousiha and contains the registration number and date.

    Copyright:

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

    Birth Certificate: Government of Uttar Pradesh

    Uploaded by

    shivam
    This document is a birth certificate for Ali Husain born on February 1st, 2003 in Bhinga, Gonda, Uttar Pradesh, India. It provides details of his parents Kutabunnisha and Saleem, including their addresses. The certificate was issued on August 21st, 2021 by the Registrar of Births and Deaths of Grama Panchayat Gousiha and contains the registration number and date.

    Copyright:

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

    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 गौसह


    GRAMA PANCHAYAT GOUSIHA

    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 गौसह तहसील गडा िजला गडा 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 GOUSIHA OF TAHSIL/BLOCK GONDA OF DISTRICT GONDA OF STATE/UNION TERRITORY UTTAR PRADESH, INDIA.

    नाम / NAME: ALI HUSAIN लंग / SEX: पुरष / MALE

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


    01-02-2003 DISTRICT - GONDA,
    FIRST-FEBRUARY-TWO THOUSAND THREE BHAT PURWA,GONDA , GONDA,
    UTTAR PRADESH

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


    KITABUNNISHA SALEEM

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

    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:
    MOHALLA BANDARAHA, SHIVAJIPURAM, MOHALLA BANDARAHA, SHIVAJIPURAM,
    BHINGA, , BHINGA, SHRAWASTI, UTTAR PRADESH- 271831 BHINGA, BHINGA, SHRAWASTI,
    UTTAR PRADESH- 271831

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


    B-2021: 9-34354-000172 21-08-2021

    टपणी / REMARKS (IF ANY):


    ---

    जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
    21-08-2021
    रिजार (जम एवं मृयु)
    REGISTRAR (BIRTH & DEATH)
    ाम पंचायत गौसह
    GRAMA PANCHAYAT GOUSIHA

    UPDATED ON :
    21-08-2021 19:26:26

    "THIS IS A COMPUTER GENERATED CERTIFICATE. "


    " 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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