ut FORM-S ee prea BAHL GOVERNMENT OF GUJARAT audtou ar uae searet Rowe DEPARTMENT OF HEALTH AND FAMiLy WeLFARE BA 0917283 BH WHIQA BIRTH CERTIFICATE (Coe a meet leet APPL, Lee 5er4 42/10 HA PIA FLARE eel FeO, Zor CAL Fee 4H) (Issued under Section 12/17 of the Registration of Bins and Deaths Act, 1969 and Rule 8 of the Gujarat Registration of Binh and Deaths Rules, 2018) cute enngle: Soeuat A BB, ole Bell orient yen ReEiiell Qeanil tell BP oHeactett orate atredett Mel Beet at Meck agate eof gr/aBeatt eBeeeni B, ‘This i to certify thatthe following information has been taken from the original record of birth whichis in the register for Vitage!City Morbi(M) of Taluka Morbi of District Morbi of Gujarat State, Inca, eUY/Name : QUAM / RHYTHM otk ctlU/Date of Binh 30/07/2017 ‘Sunday, July 30, 2017 Yele] tt4/Name of Mother aflett / GEETA eatasetl Yer WHA ULAL-Aate MRA] Address of parents atthe time of Birth of child KRUSHNAPAR STREET-3 BEHIND GAUSHALA GHOGHA ROAD. pen des sen se a Ls itu $xis/Registration No. : 5544 Aude (BAY elt) ;Remarks (if any) 0, 7 yang sidl anrzttel gla / Date of issue : Gane er von-nre_ sad A / Sex : ¥il/ Female ott 240./Place of Birth ASHIRVAD HOSPITAL Rett] ett Name of Father uct seeugieus xeeU / HIMMAT KALYANBHAI SARVAIYA wtett - Acti stall Aeette} / Permanent Address of Parents MORBI / ugh Al t/Registraton Date: 08/08/2017 ‘agua etot27 Contficate No. : B201720805494 yoga aauett2 at stdled a4l/ Signature of Issuing fi) adi Gea (0H 8 429) Morbi(M) , Morbi utara (4Fy7RS8xQ5J+ 1 wxEh2+vrecMULPSWGAY CotuarN7Tooj43ZiN|AVBE3S7hp#TY sAldliL mt. (at) 109- 2X00 900-10-20%0