REVENUE DEPARTMENT, GOVT OF NCT OF DELHI

OFFICE OF THE DISTRICT MAGISTRATE

PATEL NAGER : WEST DISTRICT

ORDER FOR REGISTRATION OF BIRTH

ORDER NO: 90630000013371

I hereby order that the birth entry be made in the Municipal Record after charging necessary fee as per the
following particulars-

1. Name of the Child : NAVEEN KOLI

2. Father's Name : LT ISHWAR DAYAL
3. Mother's Name : GAYTRI DEVI
4. Present Residential Address : J-117 VISHNU GARDEN TILAK NAGAR DELHI 110018 INDIA
5. Gender : MALE
6. Date of Birth (dd/mm/yyyy) : 23/08/1989
7. Place/Address where birth : J-117 VISHNU GARDEN DELHI 110018 INDIA
took place
8. Parent's Address at the time of : J-117 VISHNU GARDEN DELHI 110018 INDIA
birth of child

Digitally signed by SURENDER KUMAR,

TEHSILDAR,
Copy Forwarded to: 2015.10.31 14:59:49
Zonal Health Officer, MCD

1. This Certificate is valid as per Information Technology Act 2000 as amended from time to time.
2. The Authenticity of this document should be verified at http://edistrict.delhigovt.nic.in. Any discrepancy in the details on this document
when compared to those available on the website renders it invalid.
3. The onus of checking the legitimacy is on the users of this document.
4. In case of any discrepancy please inform the authority issuing this Certificate.

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