True Translation from Punjabi to English

BIRTH CERTIFICATE
Chief Registrar (Birth & Death)
Punjab Chandigarh
STAMP
It is certified that the following information are taken from original birth record
registered in the Local Registrar Birth & Death Municipal Corporation Tehsil
Ludhiana, Distt. Ludhiana, Punjab.

Name: Amol Anand Registration No: 1562

Sex: Male Date of Birth: 4 March, 1993

Registration Date: 10.03.1993 Birth Place: CMCH

Mother’s Name: Kiran Bala Father’s Name: Anand Sarup S/o Om Prakash

Permanent Address of Mother-Father : B-1-796, Prem Nagar, Ludhiana

Signature of Certificate Preparer Signature of Certificate Issuer

Name: Stamp

Designation Date

Note: This certificate (Birth) is issued under Section 12/17 of the Registration of
Births and Deaths Act, 1960.