Ba ® GOVERNMENT OF JHARKHAND tho w Pre fa af ot ateadt ft DEPARTMENT OF ECONOMICS & STATISTICS a fa ere [MUNICIPAL CORPORATION DHANBAD was FORMS Fa BIRTH CERTIFICATE Sekt fof, woo $e 12 / 1 mer eels aoe ary eo CUSSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 6/13 OF THE JHARKHAND REGISTRATION OF BIRTHS & DEATHS RULES 2009) cae wafer far gar & eae Sra Towa wee aes ed ‘THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH 18 THE REGISTER FOR MUNICIPAL CORPORATION DHANBAD OF TAHSIL/BLOCK DHANBAD-CUM-KENDUADIH-CUMJAGATA OF DISTRICT DHANBAD OF STATE/UNION ‘TERRITORY JHARKHAND, INDIA. “AT / NAME: AMT KUMAR, ‘gow faP¥ / DATE OF BIRTH: 10032013, TENTH-MARCH-TWO THOUSAND THIRTEEN SIRI & STH / NAME OF MOTHER: KIRAN DEVI ‘rary ay / MOTHER'S AADHAAR NO: XOKIONNATES yea & sou & a rar fear 1 GET / ADDRESS OF PARENTS AT ‘THE TIME OF BIRTH OF THE CHILD: [NEAR LANKA NAGRI, BHULAN BARAREE, JHIABIA,, JHARIA.CUMJORAPOKHAR-CUM-SINDRI , DHANBAD, JHARKHAND. 26133 ‘usher Heat / REGISTRATION NUMBER: 18-2023: 20-90013.030746 feo / REMARKS (IF ANY): ox ‘rit wes ar / DATE OF ISSUE: 2941-2023 UPDATED ON 2841-2023 15:51:39 yon fg aide 3 at nf ¢ St fe oe Faw cores aris eee ge Seat ieee ofeato F1 i file / SEX: EH) MALE ‘=H ETI PLACE OF BIRTH: NEAR LANKA NAGRI, BHULAN BARAREE, _DHANBAD,DHANBAD-CUM-KENDUADIH.CUMJAGATA, DHANBAD, JHARKHAND ffrqr a aI / NAME OF FATHER: PARSHURAM GAM YADAV ‘ary 3 /_ FATHER'S AADHAAR NO: XOXO swrat feat # =e Sat) PERMANENT ADDRESS OF PARENTS: ‘DHANBAD, DHANBAD.CUM-KENDUADIH-CUMJAGATA, DHANBAD, JHARKHAND ‘erro arf DATE OF REGISTRATION: 28112023 sift ara ara aiftret / ISSuING AUTHORITY aire oa wt aD [REGISTRAR (BIRTH & DEATH) ‘are feat See [MUNICIPAL CORPORATION DHANBAD “THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY" “THE GOVT, OF INDIA VIDE CIRCULAR NO. 1/12/2014:VS(CRS) DATED 27,JULY-2015 HAS APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES" ween at ay oreo AAR ES / ENSURE REGISTRATION OF EVERY HIRTHLAND DEATH fara, 2000 ram ayia & savin aft fer ser)