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    This document is a birth certificate issued under the Registration of Births and Deaths Act of 1969 and Rules of 2000 in Rajasthan, India. It certifies the birth information taken from the original register for a local area/body in a tahsil/block of a district in the state/union territory. The certificate provides the name, date of birth, place of birth, sex, name of mother and father of the child. It also lists the addresses of the parents at the time of birth and their permanent address, along with the registration number and date.

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    This document is a birth certificate issued under the Registration of Births and Deaths Act of 1969 and Rules of 2000 in Rajasthan, India. It certifies the birth information taken from the original register for a local area/body in a tahsil/block of a district in the state/union territory. The certificate provides the name, date of birth, place of birth, sex, name of mother and father of the child. It also lists the addresses of the parents at the time of birth and their permanent address, along with the registration number and date.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    26 views1 page

    Adobe Scan 03 Dec 2021

    Uploaded by

    Hiren Singh
    This document is a birth certificate issued under the Registration of Births and Deaths Act of 1969 and Rules of 2000 in Rajasthan, India. It certifies the birth information taken from the original register for a local area/body in a tahsil/block of a district in the state/union territory. The certificate provides the name, date of birth, place of birth, sex, name of mother and father of the child. It also lists the addresses of the parents at the time of birth and their permanent address, along with the registration number and date.

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    © All Rights Reserved
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    of 1

    FORM N0.

    BIRTH CERTIFICATE
    (TH 3tR Hy kRrgu 3rfaTTH, 1969 eTKI 12/17 3R
    ITR R Z VfGkgovUI P4, 2000 faH8/13 3ret-1 ur f TAT)
    (Issued under Section 12/17 of the Registration of Births and Deaths Act,I969 and Rule 8/13 of the
    Rajasthan Registration of Births and Deaths Rules, 2000)

    ..****.************* *********************************"**""

    This is to certify that the following information has been taken from the original record of birth which is the
    register for (local area/ local body)..... . . . . . . . . . o f tahsil/ block of

    District.. ..of state/Union territory..

    TT-/Namne: ************°*
    Sex. *°°*******

    AADate of Birth. T/Place of Birth .. T


    TI T/Name of Mother. **°**°°

    feT aTH/ Name of Father..

    Address of parents at the time of birth of the child: Permanent address of parents:

    *********** . .
    .... ***

    zfrEaVUI i/Registration No:. .... ...


    vTTETYUI aATa/ Date of Registration
    **'***°.
    Y-7-1
    feuuî/Remarks(if any)... ******°°°*****. *****

    HR t a / Date ofissue..4/2f/0 t and mfaeotd rmar/Signature of the issuing authority

    Trav Ts ufyriknbAddress of the issuing authority


    ,
    HESeal A

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