Birth Certificate

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Øe la[;k% 13852018018870 izi= la- -5

S.No: Form No. - 5

mRrj izns”k ljdkj


Government Of Uttar Pradesh
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Prayagraj Municipal Corporation
¼tUe&e`R;q jftLVªhdj.k vf/kfu;e 1969 dh /kkjk 12@17 ,oa mRrj izns”k tUe e`R;q jftLVªhdj.k fu;ekoyh 2003
ds fu;e 8 ds v/khu tkjh½
(Issued under the Section 12/17 of the Registration of Births and Deaths Act 1969 and under rule 8 of Uttar Pradesh, Registration
of Births and Deaths Rules 2003)
¼tUe izek.k i=½
(Birth Certificate)
izekf.kr fd;k tkrk gS fd fuEufyf[kr lwpuk tUe ds ewy vfHkys[k ls yh x;h gS tks ¼LFkkuh; {ks=½
bykgkckn] jkT; mRrj izns”k ds jftLVj esa vafdr gSA
This is to certify that the following information has been taken from the original record of birth which is in the register for
Prayagraj Municipal Corporation State U.P.

uke
Name RAJESH CHANDRA KISHAN
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Sex MALE
tUe dk fnukad ,oa LFkku 01/01/2001, HOME,
Date of Birth & Place
firk dk uke
Name of Father PRAYAGRAJ AJAY KISHAN
ekrk dk uke
Name of Mother DAMINI KASHYAP
iathdj.k la[;k
Registration No 13852018018870
iathdj.k dk fnukad
Date of Registration 06/08/2008
tkjh fnukad
Issued Date 06/08/2008
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Place/District PRAYAGRAJ
jftLVªkj tUe e`R;q
Registrar Birth & Death

Digitally Signed by

OM PRATAP VISHWAKARMA
Signed on: 06/01/2012 Code: 360592
izR;sd tUe ,oa e`R;q dk iathdj.k lqfuf”pr djsa / Ensure registration of every birth and death
For Certificate Verification please visit http://www.e-nagarsewaup.gov.in/ulbapps

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