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    815 2024 Certificate

    Uploaded by

    Bibhu Prasad Pradhan
    The document is a birth certificate for Pratik Rout born on January 29, 2024 in Kendrapara, Odisha, India to parents Sunita Rout and Pradumna Rout. The certificate provides details of the birth such as location, parents' names and addresses, registration number, and was issued on March 14, 2024.

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

    815 2024 Certificate

    Uploaded by

    Bibhu Prasad Pradhan
    337 views1 page
    The document is a birth certificate for Pratik Rout born on January 29, 2024 in Kendrapara, Odisha, India to parents Sunita Rout and Pradumna Rout. The certificate provides details of the birth such as location, parents' names and addresses, registration number, and was issued on March 14, 2024.

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    815_2024_Certificate

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    The document is a birth certificate for Pratik Rout born on January 29, 2024 in Kendrapara, Odisha, India to parents Sunita Rout and Pradumna Rout. The certificate provides details of the birth such as location, parents' names and addresses, registration number, and was issued on March 14, 2024.

    Copyright:

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

    815 2024 Certificate

    Uploaded by

    Bibhu Prasad Pradhan
    The document is a birth certificate for Pratik Rout born on January 29, 2024 in Kendrapara, Odisha, India to parents Sunita Rout and Pradumna Rout. The certificate provides details of the birth such as location, parents' names and addresses, registration number, and was issued on March 14, 2024.

    Copyright:

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

    (English Version) FORM NO-5

    ISSUE NO : 2319/2024

    GOVERNMENT OF ODISHA

    DEPARTMENT OF HEALTH AND FAMILY WELFARE

    Kendrapara Municipality

    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 Kendrapara Municipality of Tahasil KENDRAPARA
    of District KENDRAPARA of State ODISHA

    NAME: PRATIK ROUT SEX: MALE

    DATE OF BIRTH: PLACE OF BIRTH:


    29/01/2024 TULASI HOSPITAL, KENDRAPARA

    NAME OF MOTHER: NAME OF FATHER:


    SUNITA ROUT PRADUMNA ROUT

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

    ADDRESS OF PARENT AT THE TIME OF CHILD PERMANENT ADDRESS :


    BIRTH:AT-SANANKO, PO-MAHU, PS-AUL, AT-SANANKO, PO-MAHU, PS-AUL, KENDRAPARA,
    KENDRAPARA, ODISHA, INDIA ODISHA, INDIA

    REGISTRATION NO: REGISTRATION DATE:


    815/2024 01/02/2024

    UBRN NO: DATE OF ISSUE:


    21UB360-0025-000815-2024 14/03/2024

    Signature Not Verified Dr Birendra Kumar Dash


    Digitally Signed. Issuing Authority
    Name: BIRENDRA KUMAR DASH
    Date: 14-Mar-2024 13:43:37
    Reason: Birth Certificate
    Registrar, Births & Deaths
    Location: KENDRAPARA
    HEALTH OFFICER

    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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