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GOVERNMENT OF GUJARAT
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DEPARTMENT OF HEALTH AND FAMILY WELFARE

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BIRTH CERTIFICATE
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(Issued under Section 12117 of the Registration of Births and Deaths Act, 1969
and Rule 8/13 of the Gujarat Registration of Births and Deaths Rules, 2004)
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This is to Certify that the following information has been taken from the original record of birth which is in the register
for village/Cif
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Gujarat State.

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Place of Birth

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Name of Father :

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Address of parents at the time of Birth of child

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Permanent address of Parents

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Date of Birth

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Name of Mother

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Registration No.

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Remarks (if any)

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Date of Registration:

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Address of the issuing authority

Ensure Registration of every Birth & Death
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