Scribd Logo
Upload

Welcome to Scribd!

  • 25 views

    Birth Corrections GHMC

    Uploaded by

    advocatesajaldas

    Copyright:

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

    Birth Corrections GHMC

    Uploaded by

    advocatesajaldas
    25 views3 pages

    Original Title

    BIRTH CORRECTIONS GHMC

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views3 pages

    Birth Corrections GHMC

    Uploaded by

    advocatesajaldas

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    DECLARATION FOR CORRECTIONS OF BIRTH ENTRY

    CIRCLE / LOCATION:

    I, S/o ____________________________
    Aged about years working as __________________
    (Designation and complete address of the individual of the
    firm) Residing at ____________________________________________________________
    (Complete Door No. Street and Station has to
    be stated with Telephone No).

    Declare that,

    I / My _________________________________ Delivered Male child / Female


    child Born in _____________________
    ________________________________ (Actual place of event) on
    (date of event).
    The Birth Certificate issued on
    The name/s was wrongly informed by
    by_______________________________
    _______________________________ (the
    person who informs the event has to be stated) please do the following correction.
    co

    Incorrect Name To be corrected as


    HYDERABAD SIGNATURE OF THE DECLARANT

    DATE: (Declarant’s name in capital)

    I know Sri / Smt S/O /W/O _______________


    as a resident of _________________________
    . The Signature of the declarant is taken in my
    presence and the contents mentioned by the declarant are true and correct to the best of my
    knowledge and belief.

    1. 2.

    GAZETTED OFFICER GAZETTED OFFICER


    Sign & Seal Sign & Seal

    (Name of the Officer) (Name of the Officer)


    eSeva Transaction No. eSeva Transaction Date:

    The following documents should be produced by the declarant for name


    corrections in Birth Register:

    1. Original Birth Certificate.


    2. The declaration stated should be true and correct by two Gazetted Officers (Names
    of Gazetted Officers are to be written in CAPITALS).
    3. Notary Affidavit on (Rs.10/-Non Judicial Stamped Paper).
    4. Documentary Evidences like Educational Certificates, Election ID Card, Ration
    Card, Passport, Driving Licenses, Marriage Certificate, LIC Policies, Caste
    Certificates, Property Papers etc (Two different ID’s).
    5. Consent Letter from the concerned Hospital regarding the correction of the effect.

    6. Any other support documents if any please specify.

    You might also like