MCDOLIR-0112-005169697

(Issued under sec tion 17 of the Reg istration of Birth and Death Ac t, 1969 and 8/13 of Delhi
Reg istration of Birth Rule,1999)

This is to c ertify that the following information has been taken from the orig inal rec ord of
BIRTH whic h is the reg ister for Munic ipal Corporation Of Delhi of ROHINI ZONE of N.C.T.
Delhi

न ा म / Name DEVRAJ
लं ग / Gender MALE

ज म क ित थ / Dat e Of Birt h 01/01/2012

ज म का थान / Place Of Birt h 39 GALI JHUGGI DHABA HAIDERPUR VILL NEHRU CAMP
DELHI 110088
पं जीकरण क ित थ / Dat e Of Regist rat ion 27/04/2012

पं जीकरण सं या / Regist rat ion No MCDOLIR-0112-005169697

माता का नाम / Name of Mot her PARBATI PRAJAPATI

िपता का नाम / Name of Fat her DASHRATH PRAJAPATI

वतमान / ज म के समय पता 39 GALI JHUGGI DHABA HAIDERPUR VILL NEHRU CAMP
Present / Address at t he t ime of Birt h) DELHI 110088

थाई पता / Permanent Address 39 GALI JHUGGI DHABA HAIDERPUR VILL NEHRU CAMP
DELHI 110088
जारी करने क ित थ / Dat e of Issue 11/05/2012

Note: This c ertific ate is system g enerated and does not require any seal/sig nature in orig inal . The authentic ity
of this c ertific ate c an be verified at mc donline.nic .in
ये क ज म ए वं मृ यु क ा पं ज ीक रण सुिनि त क रे
ENSURE REGISTRATION OF EVERY BIRTH & DEATH