Date : 03/11/2014 15:55:01 ‘oF SURAT MUNICIPAL CORPORATION yea Meletsi2uIGsi GOVT. OF GUJARAT Yrveiet BSI PUBLIC HEALTH DEPARTMENT. mse AiV2z Ai! BIRTH CERTIFICATE / *votig) warerus a (Issued under Section 12/17 of the ewes ‘Birth and Death Act. 1969) over 2404 Hee) eilesol anBioiar aegEel Sa R2/ae YH) eee Form No, ~5/ ebjeh suis 4 0367874 This is to certify that the following information has been reproduced from the origiaal record of Birth F which is in the register of Central Zone zone for SURAT MUNICIPAL CORPORATION of tehsil city - . of District Surat of State Gujarat Name: DEVKISHAN ng Gender: Male Birth Weight : 3.000 kg. © Birth Date: 08/03/2000 . Place of Birth: —Sarvodaya Meternity home,Surat Father's Name: NARENDRAKUMAR SHANTILAL SADISATSOWALA Mother's Name: ~MAYABEN Address : Jivan Jyot Nagar, A/19, B/H.Jivan Jyot Cinema, Udhna. Registration No.: CZ 2000 3270 ~ »&_ Date of Registration : 16/03/2000 Remarks : = :