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    Priyanshi Samal

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    sourabhasahu7
    This document is a birth certificate issued by the Government of Odisha for Priyanshi Samal. It provides details such as the name, sex, date and place of birth, names and identification numbers of the parents, and address of the parents. The certificate was issued on February 17, 2024 by the registrar of the Banarpal CHC based on the original registration of the birth recorded on July 27, 2023.

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

    Priyanshi Samal

    Uploaded by

    sourabhasahu7
    171 views1 page
    This document is a birth certificate issued by the Government of Odisha for Priyanshi Samal. It provides details such as the name, sex, date and place of birth, names and identification numbers of the parents, and address of the parents. The certificate was issued on February 17, 2024 by the registrar of the Banarpal CHC based on the original registration of the birth recorded on July 27, 2023.

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    PRIYANSHI SAMAL

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    This document is a birth certificate issued by the Government of Odisha for Priyanshi Samal. It provides details such as the name, sex, date and place of birth, names and identification numbers of the parents, and address of the parents. The certificate was issued on February 17, 2024 by the registrar of the Banarpal CHC based on the original registration of the birth recorded on July 27, 2023.

    Copyright:

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

    Priyanshi Samal

    Uploaded by

    sourabhasahu7
    This document is a birth certificate issued by the Government of Odisha for Priyanshi Samal. It provides details such as the name, sex, date and place of birth, names and identification numbers of the parents, and address of the parents. The certificate was issued on February 17, 2024 by the registrar of the Banarpal CHC based on the original registration of the birth recorded on July 27, 2023.

    Copyright:

    © All Rights Reserved
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    of 1

    (English Version) FORM NO-5

    ISSUE NO : 352/2024

    GOVERNMENT OF ODISHA

    DEPARTMENT OF HEALTH AND FAMILY WELFARE

    BANARPAL CHC

    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 BANARPAL CHC of Tahasil BANARPAL
    of District ANGUL of State ODISHA

    NAME: PRIYANSHI SAMAL SEX: FEMALE

    DATE OF BIRTH: PLACE OF BIRTH:


    08/07/2023 SAROJINI HEALTH CARE , BANARPAL , ANGUL

    NAME OF MOTHER: NAME OF FATHER:


    TULASI SAMAL PRADEEP SAMAL

    MOTHER'S AADHAR NO: FATHER'S AADHAR NO:


    ********9413 ********7833

    ADDRESS OF PARENT AT THE TIME OF CHILD PERMANENT ADDRESS OF PARENTS:


    BIRTH:DUDURKOTE, BALIMI, ANGUL, ODISHA, INDIA DUDURKOTE, BALIMI, ANGUL, ODISHA, INDIA

    REGISTRATION NO: REGISTRATION DATE:


    929/2023 27/07/2023

    UBRN NO: DATE OF ISSUE:


    21RB344-0022-000929-2023 17/02/2024

    Signature Not Verified Dr Sankarsan Gan


    Digitally Signed. Issuing Authority
    Name: SANKARSAN GAN
    Date: 17-Feb-2024 11:18:34 Registrar, Births & Deaths
    Reason: Birth Certificate
    Location: BANARPAL BANARPAL 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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