SignedBirthCertificate 12725663 442
Uploaded by
www.sakalmaddibwnSignedBirthCertificate 12725663 442
Uploaded by
www.sakalmaddibwnForm-5
GOVERNMENT OF WEST BENGAL
DEPARTMENT OF HEALTH AND FAMILY WELFARE
MUNICIPALITY BURDWAN
BIRTH CERTIFICATE
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE WEST BENGAL
REGISTRATION OF BIRTHS & DEATHS RULES 2000.)
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS
THE REGISTER FOR MUNICIPALITY BURDWAN OF BLOCK/MUNICIPALITY MUNICIPALITY BURDWAN OF DISTRICT PURBA
BARDHAMAN OF STATE WEST BENGAL, INDIA.
NAME : LAXMIRAM MADDI GENDER : MALE
DATE OF BIRTH : 03/02/2005 PLACE OF BIRTH : B M C & H,MUNICIPALITY BURDWAN,
PURBA BARDHAMAN, BURDWAN, WEST
BENGAL - 713101
NAME OF MOTHER : MUNGLI MADDI NAME OF FATHER : SAKUL MADDI
MOTHER'S IDENTITY PROOF : AADHAAR- FATHER'S IDENTITY PROOF : AADHAAR- XXXXXXXX6210
XXXXXXXX8225
PRESENT ADDRESS OF MOTHER STREET/LANE:- KRISHNAPUR MILLON POLLY,LOCALITY/POST OFFICE:- RAJBATI, VILLAGE/TOWN:-
AT THE TIME BIRTH OF THE BURDWAN,MUNICIPALITY BURDWAN MUNICIPALITY,DIST:- PURBA BARDHAMAN,WEST BENGAL-
CHILD : 713104
PERMANENT ADDRESS OF STREET/LANE:- KRISHNAPUR MILLON POLLY,LOCALITY/POST OFFICE:- RAJBATI, VILLAGE/TOWN:-
MOTHER : BURDWAN,MUNICIPALITY BURDWAN MUNICIPALITY,DIST:- PURBA BARDHAMAN,WEST BENGAL-
713104
CERTIFICATE NO : B/2025/1065857 DATE OF REGISTRATION : 22/04/2005
OLD Reg. No- 3187
S-UHID : 04449061445079 REMARKS (IF ANY) :
DATE OF ISSUE : 22/04/2005 UDIN : ----
UPDATED ON : 2025-08-01 [Link] ISSUING AUTHORITY :
Signature Not Verified
Digitally Signed.
Name: DEBABRATA RAY
Date: 01-Aug-2025 [Link]
REGISTRAR (BIRTH & DEATH)
MUNICIPALITY BURDWAN
"THIS IS A COMPUTER GENERATED CERTIFICATE."
THE [Link] INDIA VIDE CIRCULAR NO. 1 / 12 / 2014 - VS(CRS) DATED 27 - JULY - 2015
HAS APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES
"ENSURE REGISTRATION OF EVERY BIRTH AND DEATH"
The QR Code and Certificate Number can be verified through the portal [Link]
