Form 5

   తెలంగాణ ప్రభుత్వము 
   GOVERNMENT OF TELANGANA 
   వైద్య ఆరోగ్య శాఖ 
   HEALTH, MEDICAL & FAMILY WELFARE DEPARTMENT

జనన ధృవ పత్రము

BIRTH CERTIFICATE
(Issued under Section 12/17 of the Registration of Births and Deaths of the Registration of Births and Deaths Rules 1999)
This is to certify that the following information has been taken from the original record of birth, which is the register for of NARAYANPET
MU NICIPALITY Telangana State, India

Name :   
Sex : Male
Date of Birth : 03/11/2022
GOVT AREA HOSPITAL   MARKET
Place of Birth :
AREA   MARKET AREA   NARAYANPET
Name of Mother :  ANANDAMMA
Name of the Father :  MAHESH

Permanent Address of
Address of the parents at the time of Birth of Child :
parents :
00   KARANGI   YADGIR 00   KARANGI   YADGIR

Registration No : 5933
Date of Registration : 10/11/2022
Date of Issue : 16/12/2022
Remarks :

Registrar of Births & Deaths

NARAYANPET MU NICIPALITY
Designation : MU NICIPAL COMMISSIONER

Note: The information is as provided by Hospital authorities and does not require physical signature.And this certificate can verified at
http://ubd.telangana.gov.in by furnishing the application number mentioned in the Certificate.