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ఒකბజఒళ౽ბబ
GOVERNMENT OF KARNATAKA
ఙథథపൡ౨పబఠఔయ෨ఓඣైంణ൏ඌ౽คఔำ
Chief Registrar of Births and Deaths
ఙథథదఠదడ
ఙపඣైఄඌඛఫప~¬´±´బ¬¬²ඡఫదఒబఠಟఒఙపඣైඛఫపఔำ~
¬´´´బඛఫప³¬®బ෬ฉಡಆఞมణ
BIRTH CERTIFICATE
(Issued Under Section 12/17 of the RBDAct, 1969 and Rule 8/13 of the KRBD Rules, 1999)
7l_B2NĻ`\l[UhÇB£eLBªeIÍSěB´XeÑV\ĝ¬lÐ[ěB´XeÑV\e^iÐĔUZh¡lÅsUdĺÑ eÎZVL¾P Sĸĝc¾ĸUĹÐ\h`IUU
c2X2T®eSZi^¡eC¬lĵ2SllShli_ѬeĖ¡lĶ2SVΨeĥsBĸc¬eĖ¡l
This is to certify that the following information has been taken from the original record of birth which is the register for
Muddenahalli (village/town) of Chikkaballapura taluk of Chikkaballapura district of Karnataka State
²lc\h ĹxD ²lPhÂ
Name Sex Female
IUU®eSeĸsCh 10/11/2023 IUU®eScÄ_ Sri Sathya Sai Sarla Memorial Hospital,
Muddenahalli,Chikkaballapura,Chikkaballap
Date of Birth Place of Birth ura,Karnataka
eĵ[²lc\h Qx¡l[²lc\h
Name of Mother PRABHA H M Name of Father VISHWANATH N
ZDhĻUIUUScZ[SĹÐQx¡leĵ[\Ļec Qx¡leĵ[\e[xĻec
İİ<2ī¦l2D_\hB£eLB İİ<2ī¦l2D_\hB£eLB
Address of parents at the time of birth of the child: Permanent address of parents:
#2, SARAKKI GARDEN J P NAGAR 6TH PHASE, BANGALORE #2, SARAKKI GARDEN J P NAGAR 6TH PHASE, BANGALORE
SOUTH, BBMP,,Bengaluru,Karnataka 560078 SOUTH, BBMP,,Bengaluru,Karnataka 560078
£lisxSĥcxlÍ 623608/V/B/2023/001857 £lisxSĥeĸsCh 11/11/2023
Registration No.: Date of Registration:
bªe ©e`¡eT\h6SÅĹÐ -- 4UhūsS£l[Ĩ£e2B 15/11/2023
Remarks(if any) Date of Approval
VΨePVQÎliNh`¤eÎĩeĸ[cĿ VΨePVQÎliNh`¤eÎĩeĸ[Ļec
Signature of Issuing Authority Address of the issuing authority Village Accountant
Mylappanhalli Circle, Chikkaballapura Taluk, Chikkaballapura
District
దൟంൿఙథథపൡ౨పబఠణඣైంణఫඝ౬ఓడదലಆั
³Ensure registration of every birth and death´
లฃఙథథඣైంణఫඝ౬https://ejanma.karnataka.gov.in ణยඁുైఒคಆั
Note: Verify the Birth registration at https://ejanma.karnataka.gov.in