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Adobe Scan Jun 25, 2025

This document is a birth certificate issued by the Government of Madhya Pradesh for a child named Rudra Meena, born on February 10, 2024, at Jash Hospital and Research Centre. The certificate includes details about the parents, Saloni Meena and Gulshan Meena, along with their Aadhaar numbers and addresses. It is registered under the Registration of Births & Deaths Act, 1969, and is valid for official purposes as per government regulations.

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22 views1 page

Adobe Scan Jun 25, 2025

This document is a birth certificate issued by the Government of Madhya Pradesh for a child named Rudra Meena, born on February 10, 2024, at Jash Hospital and Research Centre. The certificate includes details about the parents, Saloni Meena and Gulshan Meena, along with their Aadhaar numbers and addresses. It is registered under the Registration of Births & Deaths Act, 1969, and is valid for official purposes as per government regulations.

Uploaded by

vvk5074
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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NO, 1 GOVERNMENT OF MADHYA PRADESH FORM-5

H, r f q ifasu frsT
DEPARTMENT OF PLANNING, ECONOMICS & STATISTICS

MUNICIPALITY SHUJALPUR

BIRTH CERTIFICATE

TTT )
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE MADHYA PRADESH
REGISTRATION OF BIRTHS & DEATHS RULES 1999)

THIS IS ToCERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR MUNICIPALITY SHUJALPUR OF TAHSIL/BLOCK SHUJALPUR OF DISTRICT SHAJAPUR OF STATE/UNION TERRITORY MADHYA PRADESH, IND0A

IE /NAME: RUDRA MEENA fedT /SEX: Ye4/MALE

gH faf /DATE OF BIRTH: SH TT/PLACEOF BIRTH:


10-02-2024
TENTH-FEBRUARY-TWO THOUSAND TWENTY FOUR
JASH HOSPITAL AND RESERCH CENTRE

HGT T A / NAME OF MOTHER: fr T IH / NAMEOF FATHER:


SALONI MEENA GULSHAN MEENA

3ATTT « /MOTHER'S AADHAAR N0: 3TTT T / FATHER'S AADHAAR NO:


XXXXXXXX8450
XXXXXXXX4902

qà H HHY HIGT-fUT YaT /ADDRESS OF PARENTS AT THETIME HraT-fNT ¢ TUT VaT/ PERMANENT ADDRESS OF PARENTS:
OF BIRTH OF THE CHILD:
WARD NO 09,
SHUJALPUR,, SHUJALPUR, SHAJAPUR, MADHYA PRADESH SHUJALPUR,NANYA KHEDI, SHUJALPUR, SHAJAPUR,
MADHYA PRADESH- 465333
rGU 4S4T |REGISTRATION NUMBER: frau arÊrs|DATE OF REGISTRATION:
B-2024: 23-90164-000122 20-02-2024

fatt / REMARKS (IF ANY):


PRIVAR SAMGARA ID 23261140

ar 6 faf /DATE OF ISSUE: GI rGt AIfa / ISSUING AUTHORITY :


20-02-2024
REGISTRAR (BIRTH &DEATH)
MUNICIPALITY SHUJ¦LPUR

UPDATED ON:
20-02-2024 00:00:00

"THIS IS ACOMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUINGAUTHORITY"
THE GOVT, OF INDIAVIDE CIRCULAR NO. 1/n2/2014-VS(CRS) DATED 27JULY-2015 HAS
APPROVED THIS CERTIFICATE AS AVALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES".
wràr TH Í TEg t r gfrefRA ot ENSURE REGISTRATION OoF EVERY BIRTHAND DEATH

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