{IGIT : 1585988

NO. '1585988

Form 5

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GOVERNMENT OF JHARKHAND
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DEPARTMENT OF PLANNING AND DEVELOPMENT
(DIRECTOMTE OF STATISTICSAND EVALUATION)
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BIRTH CERTIFICATE
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(lssued under Section '12l17 of Registration of Births and Deaths Act, 1969 and Rule 8/13
ofthe Jharkhand Registration of Births and Deaths Rule2009)
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This is to certify that the following information has been taken from the original iecord of birth which is the register for
(local arealbody) Ranchi Municipality Offlce of tahsil Ranchi of District Ranchi of State Jharkhand

TfrI/ Name : Shreyansh Kumar Sahu ft\,/ sex : Male

6q ffifu/Date of Birth (dd/mm/yyyy) : 19t1ZtZOO9 qq 6r t9rI;I/Place of Birth : Baba Hospital
fuor or onqlName of Father: Saniosh Kumar Sahu Ratu Road, Ranchi
qrdl iDT ;rFI/Name of Mother:Alka Sahu
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/Address of Parents at the time of birth of the child :
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Mansarovar Colony Near D.A.V Public School,

/ Permanent Address of Parents :

Mansarovar Colony Near D.A.V Public School,

Po- Hehal., PS- Ratu.Ranchi
Po- Hehal., PS- Ratu,Ranchi
c'fffiur sGn ffirr"r ffio /Oate of Registration
/ Registration No. : RNC/RNC/BIRTH/1 09999/201 6 :2010112016

fu{r6l Date of lssue (dd/mm/yyyy) : 2016-0't-28

17:19:032 3O1

Digitally Signed By : VISHWAMBHER BHAGAT

Reg,strar, Ranchi Municipality Office
Ranchi, Ranchi

'Ensure registrataon of every birth and death / ar nlq 3ir Tq -r q$6{"r tBRrn otI

This certificate has been generated and digitally Signed by electronics system
It is approved by authoized employee of related office.
Th s G,tificare can be vardated lrom tE sire : htp/4hari<hand gov ir/onilrid
Thrs enifcate is 6s@d and valid in ligtrt of letter lLlo JAP-lT/edisiridf9{2201G11 Dated 10-092011 oI D€pn of tnforutiM Techmtogy Jhaioand Gov1