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8Tj̆\hRjSD^ah\h58apJpD°WjIpWj\hˆeSjKƛ\WhȺl`^°DP½\h5Tj_pah\h58ajJpȐ[h^SWhȤkK^hS^hԌ]WhX5I\eh_‰Kƣ_hWh
eh_s_ShɀkDhWhahaPŽ˴h\be°^Wh^‰KƨN^\h5Jp

This is to certify that the following information has been taken from the original record of birth which is in the register for Village/City
Vavdi of Taluka Halol of District Panch Mahals of Gujarat State, India.

Wh\Name : ἷ‫ړڬږڛڇٱڀ‬KINJALBEN ĤiSSex : Ḛṏ‫ڦ‬Female

Kƛ\Sh^ŽEDate of Birth : 01/06/2019 Kƛ\ƨT`Place of Birth :

Saturday, June 1, 2019 AT VAVDI TA HALOL


\hShȵk5Wh\Name of Mother : iXShȵk5Wh\Name of Father :

‫ڬښ‬Ḙ‫ړڬږڤژ‬RESHMABEN bWh[h:Wh]DSHANABHAI NAYAK

Zh`DWhKƛ\d\]p\hShiXShȵk5d^WhȺk5Address of parents \hShiXShȵk5Dh]\jd^WhȺk5Permanent Address of


at the time of Birth of child : Parents :
AT VAVDI TA HALOL / ȺkahaPŽSheh_s_ AT VAVDI TA HALOL ȺkahaPŽSheh_s_

WҭVRj˲\h5DRegistration No. : 5 WҭVRjWjSh^ŽERegistration Date : 11/06/2019

^Ž\hD½d iabpcWҭV Remarks (if any) : ̆\hRX́W5Z^Certificate No. : B201920878610

/05
̆\hRX́DhQŽ8Ɯ]hWjSh^ŽEDate of issue : ̆\hRX́8XWh^dĂhiVDh^ŽWjdeŽSignature of Issuing
Authority :
24/04/2024 ..................................................................................

W/V1XTrhST3d7y1Qs4BP1mPL0PT9jyRk7MfoKJv4MDke/QhnYAShKQ/24787J/He

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