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seni iemt-9 faest de ua FormNo.9A © UNION TERRITORY OF DELHI (fram deat 14 2fat) fGenmeae oF Mun De (See rule-14) * SPECIAL CERTIFICATE OF BIRTH (DETAILED) 4 8 2 0 1 ont ae Sto are 1969 ST Met 17% wena fear 7aT1 ei under Section 17 of the Registration of Births & Deaths Act, 1969, pe ag wah serif fer ac, & fs freaffers farqa qaa ara eqa da & at we 2 ot fe (Fars) % efreet H seta “pnts eternity thot the following setailed information has-been. taken {/om-the~originalurecord: of bicth which is in the ee for. (Local arcay rape ail eat _ 028 art at fate Ae ier: Registration No. Date of Registration Le. eet fart_ 4- q- 2 = 8. Ha a ATG Age of Mother__ 257 Date of Birth (a8 Faq F aaa GH et F) 2, faa (yfernjeaiot)___ (in completed ye: nfinement) Sex (Male/Female), ds ea 9, HEH ALAA /Order of Birth, 4 aifege ara a Tanta = Page A No, of live births including this child i Sifaa tar gu ara at det ts, 4. 5H RATT (gent No. of live births Place of Birth (Full Rr Galeab= nop ag tar gu asi at der r No.of still births iii, adr sfifaa vee at teat og at present inclu | ting thischlé 10. 495 % sey Be TAT ATT F : 5. Sarg A OTT TEE AL Permanent full aiden pes: Ee Type of atyention at delivery 6, frat at [Father's 9 i. wa/até/evey season Sfp) i Nurse/Mid-wife/Doctor/Hospital/othets i, wa ii, wat Literacy ce —_ Nie rage oe iii, sfafera/aafat ~ Occupation he Tain Unteaned : iv. TWiGct _ ol. warfare, i ¥ Nationality Pe v. ee 2. gaat Ba ara A/ =e ° E 7._TaL_ Ft /Mother’s sila iL ay, a " é Namie = _ i N Le Wraea seis TS, -— Relationship with the 4 aTeTCAT. Literacy ha nae. ST @ccupation 4 = araforat__ Yationality Name a i i, aa TT Wt BK on \F Te hr sdaes 1, sheer wt ar Fer, Serial No. of Register 2, seit at arr Name of appticant 3. waar aa Ft aha Date of application for copy 4, srfer att fart oes Date of receipt Record searching fee 6. STH aaa Postal charges 7, afafafe ame at tz = Copying charges 8. sfeferf ward we Feria, ; Copy prepared on 2. fafa ea a n& Fee Cony sisted Copy delivered on A. fatty aaa ane eT Name of copyist saree MGIPNLK- 8/B .of E. & S/79— 17-1-80—1,500 Pads.

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