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7 ser dem 5 \ FORM NO.S Goverment of Rajasthan # safes wa wifeadt Peter Directorate of Economics & Statistics Registrar - GOVERNMENT HOSPITAL KUCHAMANCITY, NAGAUR, er TOT BIRTH CERTIFICATE (ae ah my efter ia 1989 one 12/17 she x Gem TRS tae Pr, 2000 3 a et, . (issued under Section 12/17 of the Registration of Births and Deaths Act,1969 and Rule 8/13 of the Rajasthan Registration of Births and Deaths Rules, 2000) ‘ag sora Fear ora & Pe RAT Maar Set a ae SR TA Te Bt (eee eee Pera) Tort Riera eae sete wok Brat aU ASTI ToT TEU, A aT ARE 8 | “This & to ootiy tht the folowing information hes been tsken fom the ciginel record of bith whichis the registr for (Local aren / Local body) GOVERNWENT HOSPITAL KUCHAMANCITY of Tent / Block xxx of Disiet NAGAUR of Site | Union Terry Rajestnan, Indi IeUName: ser gare / KAYA KUMAWAT feriSex fFan/FEMALE ‘see (BRVDate of Bith: 08/04/2022 Siem EETYPlace of Birth: anther RATE aeTs RYE Dap a seem at ioc eens SUT AHANAT GOVERNMENT HOSPITAL KUCHAMAN CITY ‘Fray aU swuMother Aachar No: +8369 ‘rar a 7IEUName of Father: Arey ewer om / SHIMIBHU DAYAL KUMAWAT ‘Rr a1 oene siewather Aadhar No: 2486 ad oee & ana aren Ran eT at Pa at Eh a: Address. of porents at the time of birth of the chit Permanent Addrass of the parents 99 a ear Cast / age / paw / ate / 80 = efter chen / saga / gam / ate | aareur / 59 KH KERIYA TORDA / ROOPPURA ‘cagara / 59 KH KERIYA TORDA / / KUCHAMAN / NAGAUR / RAJASTHAN ROOPPURA / KUCHAMAN / NAGAUR / RAJASTHAN

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