Professional Documents
Culture Documents
Birth Certificate
Book No. No.
( Birth certificate issued under Section 12/17 Registration of birth & death Act 1936 )
This is to certify that the following information has been taken from the original record of Birth which is in the register for . Municipality of Tehsil , District .., State Madhay Pradesh, India.
Name.. ..............Gender. .... Date of Birth.Birth Place..... Fathers Name ..Mothers Name....................... . Registration No.. ...Registration Date.. Parents Address.. Nationality of Parents................
Signature of issuing officer Chief Registrar ( Seal ) Date: -................Outgoing No..... Birth-Death Registration, Directorate of Economics and Statistics, M. P.