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RTH CERTIFICATE,
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{USSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE R13 OF THE UTTAR PRADESH REGISTRATION OF
BIRTHS & DEATHS RULES 2002)
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‘THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR
DISTRICT HOSPITAL (MALE) ALIGARH OF TAHSIL/BLOCK KOIL OF DISTRICT ALIGARH OF STATH/UNION TERRITORY UTTAR PRADESH, INDIA.
TR / NAME : DHARMENDRA, AR) Sex: TRUMALE
‘wf | DATE OF Bun (TRI PLACE OF BIRTH
‘SEVENTEEN NOVEMBER TWO THOUSAND SEVEN
{HET H) NAME OF MOTHER: {qr TH NAME OF FATHER,
SUNITA HARICHAND
SHUT HT) MOTHER'S AADHAAR NO. ‘SHU BT) FATHER'S AADHAAR NO
XXXXXXXNAR6E SXXXXXXXIE
‘eek ora er RTT T/ ADDRESS OF PARENTS ATTHE TIME OF —_MTa-en Weft) PERMANENT ADDRESS OF PARENTS:
BIRTH OF THE CHILD. SIRKURRA, ALIGARH, UTTAR PRADESH: 202124
SIRKURRA, ALIGARH, UTTAR PRADESH. 202124
‘far UT / REGISTRATION NUMBER: ‘sar AER / DATE OF REGISTRATION:
2024 9:90347-005337 1-04-2028
‘Ronft REMARKS (IF ANY):
aft 29 2h FAR) DATE OF ISSUE are rer srt ISSUING AUTHORITY.
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UPDATED ON
obpe26 120-18 DISTRICT HOSPITAL (MALE) ALIGARH
IS 1S A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY"
“THM GOVT. OF INDIA VIDE CIRCULAR NO. /122014-VS(CRS) DATED 27AJULY-2015 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES”
ees ee ey oT hare YPAFRUT WF / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH
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