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~·~ mJQr / llllOISTRATI ON NUMUUI\: ~ imTilr I DATB OP REGISTRATION:

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THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEHN TAKl!N PROM THI! ORIGINAL RECORD OP BIRTif WHICH IS Tifl! REGISTER
FOR MUNICIPAL CORPORATION RAJGARH OF TAHSIUBLOCK RAIGARH OP DISTRICT RAIGARH OP STATIJNNION TERRITORY CHHAmSOARH, INDIA.

~ I NAME: ~ ~ I VEDANSH DUBEY ~ I SHX: 'I"/ MALI!

~ ~ I DATE OF BIRTH:
~ P~/ PLACE OP BIRTH :
16-04-2022 ··· /RAJPRIYA HOSPITAL RAIGARH
SIXlliENTH-APRIL-1WO THOUSAND TWEN1Y 1WO

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CHHATTISGARH· 490020 CHHAmSGARH· 490020

~ ~ I REGISTRATION NUMBER: ~ n'T'fug- / DATE OP REGISTRATION:

B-2022: 22-90125-001234 27-04-2022

<R~;e:~l~::RnY.
~ I REMARKS (IF ANY) :
DATE·16/04/2022 TIME·2 :4rPM

~~~~I DATE OP ISSUE:

05-05-2022

REci:erm~u·il7llll) W.1'.
MUNICIPAL CO RA ON RAIGARII

UPDATED ON :
05-05-2022 16:55:01

"THIS IS A COMPUTER GENERATED CERTIFICATE. '

'THE GOVT. OP INDIA VIOi! CIRCULAR NO . 1/12/2014-VS(CRS) DATED 27-JULY-2015 HAS
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