wa ea wie woe GOVERNMENT OF MADHYA PRADESH. satan, oti wa wife FRONT DEPARTMENT OF PLANNING, ECONOMICS & STATISTICS sae Parr wee [MUNICIPAL CORPORATION INDORE No.1 wars FORMS. & sea WATTS BIRTH CERTIFICATE any afer, 1969 ee 12 / 7 wen me i at or fare, 999 a Fama 71a a stacey sf Pear Te) (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE @j13 OF THE MADHYA PRADESH REGISTRATION OF BIRTHS & DEATHS RULES 1998) ar son? argiafie aver reat eam of esr, ate # shea F | Satta es we ‘THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR MUNI “=I / NAME: Zeatt 7 SHREYANSH! ‘sew {37% | DATE OF BIRTH, 15122018 FIFTEENTH DECEMBER TWO THOUSAND EIGHTEEN HITT TATE / NAME OF MOTHER: ‘aed Smear / LAXMI UPADHYAY ‘are FAT / MOTHERS AADHAAR NO: ‘wert th ar arse sar flay ctr Wat_J ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHL: "ye 0 gS oF, 92, IRTERT AE Faw, Tere, TEM, wer a 54 A J SCHEME NO. 71. GUMASTA NAGAR. INGORE , INDORE INDORE, WDORE, MADHYA PRADESH ‘advan Seer | REGISTRATION NUMBER 2018; 23-90196031992 ‘orth ( REMARKS (IF ANY) ‘soft area oh P| DATE OF ISSUE: 15-09-2022 vPDATEDON 2612-2018 00.00:00 Sere IPAL CORPORATION INDORE OF TAHSIL/SLOCK INDORE OF DISTRICT INDORE OF STATE/UNION TERRITORY MADHYA PRADESH, INDIA, {fear (SEX: #%aT/ FEMALE ‘39 STH PLACE OF BIRTH: cae & RESEARCH CENTRE, INDORE ‘faq, 7 ATR /NAME OF FATHER: ‘rach stare / RANEET UPADHYAY -==ChVARMANT HOSPITAL ae TAT /_ FATHER'S AADHAAR NO: SOOXAKAROADS sar tar # etre vay PERMANENT ADDRESS OF PARENTS: og 03 edie a. ot ren aa, way aaa, wa, aur nen 54 AJ SCHEME NO. 71, GUMASTA NAGAR INDORE, INDORE, INDORE, INDORE, MADHYA PRADESH sdhars: aifies/ DATE OF REGISTRATION: 26122018 sod sat art or ftrnét / ISSUINGAUTHORITY rege ct necisraane gan DET) et eat ae MUNICIEAT CORPORATION INDORE “THIS 1s A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY” “THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014.VS(CRS) DATED 27JUL¥-2015 HAS APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES" ete cer ct apy a ihe Gitta wh / ENSURE REGISTRATIONOF EVERYHIRTH AND DEATH”