Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

Hrincname 2023 148992

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

सं.

1 हरयाणा सरकार प-5


NO. 1 GOVERNMENT OF HARYANA FORM-5
वाय सेवाएं वभाग
DEPARTMENT OF HEALTH SERVICES
नगर नगम गुराम
MUNICIPAL CORPORATION GURUGRAM

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा हरयाणा 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 HARYANA 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 नगर नगम गुराम तहसील गुराम िजला गुराम राय/संघ देश
हरयाणा, 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
MUNICIPAL CORPORATION GURUGRAM OF TAHSIL/BLOCK GURUGRAM OF DISTRICT GURUGRAM OF STATE/UNION TERRITORY HARYANA, INDIA.

नाम / NAME: AVI KHANDELWAL लंग / SEX: पुरष / MALE

ई-आईडी नंबर / EID NO.:


XXXXXXXXXXXXXXXXXXXXXXXX0901

जम तथ / DATE OF BIRTH:


जम थान/ PLACE OF BIRTH:
02-01-2018
WOMENS MEDICARE
SECOND-JANUARY-TWO THOUSAND EIGHTEEN

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


ANJALI KHANDELWAL VISHNU KHANDELWAL

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX9896

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME OF BIRTH माता-पता के थायी पता/ PERMANENT ADDRESS OF
OF THE CHILD: PARENTS:
765/1, 02,
ASHOK VIHAR PHASE 1, GURUGRAM, , GURUGRAM, GURUGRAM, HARYANA- 122001 765/1, 02,
ASHOK VIHAR PHASE 1, GURUGRAM, GURUGRAM,
GURUGRAM,
HARYANA- 122001

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


B-2018: 6-90171-002291 16-02-2018

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
06-07-2023
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
नगर नगम गुराम
MUNICIPAL CORPORATION GURUGRAM

UPDATED ON :
16-02-2018 00:00:00

"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".

" येक जम एवं मृयु का पंजीकरण सुनचत कर" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

You might also like