.

8Tj̆\hRjSD^ah\h58apJpD°WjIpWj\hˆeSjKƛ\WhȺl`^°DP½\h5Tj_pah\h58ajJpȐ[h^SWhȤkK^hS^hԌ]Wh[haWF^‰Kƣ_hWh
S`hĤShɀkDhWhUhOh˴h\be°^Wh^‰KƨN^\h5Jp

This is to certify that the following information has been taken from the original record of birth which is in the register for Village/City
Datha of Taluka Talaja of District Bhavnagar of Gujarat State, India.

Wh\Name : ‫ڤڙڦڞڤڝٶڤڗڞڙ‬YASH BHAI VASHIYA ĤiSSex : ‫ڧڔ‬Ἐ‫ڟ‬Male

Kƛ\Sh^ŽEDate of Birth : 16/12/2022 Kƛ\ƨT`Place of Birth :

Friday, December 16, 2022 CHC DATHA

\hShȵk5Wh\Name of Mother : iXShȵk5Wh\Name of Father :

‫ړڬږڛڙڤڔ‬PAYALBEN FsXh_[h:FjFh[h:ahdj]hGOPALBHAI GIGABHAI VASIYA

Zh`DWhKƛ\d\]p\hShiXShȵk5d^WhȺk5Address of parents \hShiXShȵk5Dh]\jd^WhȺk5Permanent Address of

at the time of Birth of child : Parents :
BHATAKDA / ‫ڤڌڀڊڤڗ‬ BHATAKDA ‫ڤڌڀڊڤڗ‬

WҭVRj˲\h5DRegistration No. : 1 WҭVRjWjSh^ŽERegistration Date : 03/01/2023

^Ž\hD½d
iabpcWҭVRemarks (if any) : ̆\hRX́W5Z^Certificate No. : B202310004154

/0
̆\hRX́DhQŽ8Ɯ]hWjSh^ŽEDate of issue : ̆\hRX́8XWh^dĂhiVDh^ŽWjdeŽSignature of Issuing
Authority :
11/01/2023 ..................................................................................

Registrar ( Birth & Death )

^‰Kƨ˼h^
Kƛ\\^R
Datha , Bhavnagar

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