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    934 2024 Certificate

    Uploaded by

    Satyabrat Das

    Copyright:

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

    934 2024 Certificate

    Uploaded by

    Satyabrat Das
    17 views1 page

    Original Title

    934_2024_Certificate

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    17 views1 page

    934 2024 Certificate

    Uploaded by

    Satyabrat Das

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    (English Version) FORM NO-5

    ISSUE NO : 1441/2024

    GOVERNMENT OF ODISHA

    DEPARTMENT OF HEALTH AND FAMILY WELFARE

    HINJILICUT Municipal Council

    CERTIFICATE OF BIRTH
    Issued under Section 12/17 of the Registration of Births and Deaths Act, 1969 and 8/13 Rule of the Odisha
    Registration of Births and Deaths, Rule 2001
    This is to certify that following information has been taken from the original records of birth which is in the
    register for HINJILICUT Municipal Council of Tahasil HINJILICUT
    of District GANJAM of State ODISHA

    NAME: NITYANSHI SWAIN SEX: FEMALE

    DATE OF BIRTH: PLACE OF BIRTH:


    10/09/2024 SUB DIVISIONAL HOSPITAL, HINJILICUT

    NAME OF MOTHER: NAME OF FATHER:


    SUNELI SWAIN ANIL KUMAR SWAIN

    MOTHER'S ID PROOF NO: FATHER'S ID PROOF NO:

    ADDRESS OF PARENT AT THE TIME OF CHILD PERMANENT ADDRESS :


    BIRTH:KOTINADA, GANJAM, ODISHA, INDIA KOTINADA, GANJAM, ODISHA, INDIA

    REGISTRATION NO: REGISTRATION DATE:


    934/2024 30/09/2024

    UBRN NO: DATE OF ISSUE:


    21UB354-0136-000934-2024 26/10/2024

    Signature Not Verified Dr SRIKANTA SAHU


    Digitally signed by Issuing Authority
    DR.SRIKANTA SAHU
    Date: 2024.10.26 14:57:26 IST Registrar, Births & Deaths
    Reason: Birth Certificate
    Location: HINJILICUT SUPERINTENDENT CHC

    THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY.
    It is a digitally signed electronically generated certificate and therefore needs no ink-signed signature,stamp or seal. This certificate is
    issued as per section 4,5 & 6 of information technology Act 2000 and it's subsequent amendments in 2008.For any query or
    verification, please visit https://www.birthdeath.odisha.gov.in Tampering of this certificate will attract
    penal action.

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