GOVERNMENT OF WEST BENGAL DEPARTMENT OF HEALTH SERVICES GRAMA PANCHAYAT JUNBEDIA aI BIRTH CERTIFICATE stir ff y/s0 Er vf FHL TReeM! ) (ISSUED UNDER 1E WEST BENGAL REGISTRATION OF BIRTHS & 2 me ACT, 1000 SECTION 12/19 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 6/13 OF DEATHS RULES 2000) wr, Baa on eT, AES a, gS — Bee ora Pee ire {EN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE ae et rs a ETE Pea Fae A ew AT RICT BANKURA OF STATE/UNION TERRITORY WEST THIS 1s TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAK! REGISTER FOR GRAMA PANCHAYAT JUNBEDIA OF TAHSIL/BLOCK BANKURA - I OF DIST BENGAL, INDIA. "8 / NAME; PRATIBHA SINGHA fi/ SEX: FEMALE srry ey DATE OF BIRTH sr wy PLACE OF BIRT ‘TWENTY FIFTH-FEBRUARY-TWO THOUSAND NINETEEN BAM SEVA NIETARE CRS sass a / NAME OF MOTHER: ror a) NAME OF FATHER: Granoan Stor RIVA SINGH MALLA “wor3 311 / MOTHER'S AADHAAR NO: “wera 3001 / FATHER'S AADHAAR NO: OOQO0OKX7S64 ‘rm - srs Sm PERMANENT ADDRESS OF PARENTS: eon sewer fret ~ sa fbv7a / ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD: PRANABANANDA PALL, KENDUADIHI, BANKURA. BANKURA MUNICIPALITY, PRANABANANDA PALL, ENDUADIRI. BANKURA, . BANKURA MUNICIPALITY, BANKURA , WEST BENGAL: 72102 BANKURA WEST BENGAL- 722102 ‘ivefteast / REGISTRATION NUMBER: fat it DATE OF REGISTRATION: 2019: 19-03271-000237 [95079 / REMARKS (IF ANY): Br Rave (om (BIRTH & SUB-REGISTRAR ‘DEATH Junbedia i “THs 1S A COMPUTER GENERATED CERTIFICATE, © “THE GOVT, OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27JULY-2015 HAS APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES” + 608 yo] PO IPPON EN’ /ENSLIRE REGISTRATION OF EVERY MIRTH AND DEATHS