wa No.1 tg wie woe GOVERNMENT OF MADHYA PRADESH ‘atar, afer wet enfant fore DEPARTMENT OF PLANNING, ECONOMICS & STATISTICS sare fats che [MUNICIPAL CORPORATION INDORE mass FORMS. & ae aT BIRTH CERTIFICATE ora ay sfregimen fate, 1969 w/v a ate win oom ary eae gore Fae, 1999 a fae ayia seaie tt Pre ara) {ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE MADHYA PRADESH REGISTRATION OF BIRTHS & DEATHS RULES 1999) ae wa enki as of Ten, wea @ aver @ zea et = Sank ta he antl rdle near meer ate ‘TH IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR ‘MUNICIPAL CORPORATION INDORE OF TAHSIL/BLOCK INDORE OF DISTRICT INDO! “=U / NAME: frerer surtare: / MITANSH UPADRYAY ‘aos {30% | DATE OF BIRTH: 21-01-2022) ‘TWENTY-FIRST JANUARY.TWO THOUSAND TWENTY TWO, ‘FIny 7 at / NAME OF MOTHER: aeeh sumer ‘ny = / MOTHERS AADHAARNO: ‘wed ara @ aa srar-fuar a wa / ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD: ae eae eee, wer aes, INDORE. INDORE, INDORE, MADHTA PRADESH ‘dha ier REGISTRATION NUMBER: 5.2022: 23-90196-012907 ‘omit / REMARKS (IF ANY): ‘rit cs oh Far) DATE OF ISSUE. o-09-2022 UPDATED 0} 11-02.2022. 00:00:00 “THIS Is A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS “THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12)2014.VS(CRS) DATED 27JULY-2015 HAS IRE OF STATE/UNION TERRITORY MADENA PRADESH, INDIA. ‘Sar SER yee / MALE, ‘FH STH PLACE OF BIRTH: 3 Za RST/ADITYA HOSPITAL INDORE | NAME OF FATHER wehy susie {ue =e /_ FATHER'S AADHAAR NO; sooncaete3 ‘sror-fast @ strc ary PERMANENT ADDRESS OF PARENTS: ke Ua etna weed, eal, ea ne 54 J SCHEME N ri, INDORE, INDORE. INDORE, MADHYA PRADESH ‘Sharm afar DATE OF REGISTRATION: 1102-2022 ge art et Tat wifi / ISSUING AUTHORITY inti BEX ecISTIEAR (BIRTH § DEATH) ae ee “MUNICIPAL CORPORATION INDORE FACSIMILE SIGNATURE OP THE ISSUING AUTHORITY" APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES" owas aa oi apg sr dhwrr gata st 7 eNstt /EGISTRATION OF EVERY BIRTHAND DEATH”