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This document is a birth certificate issued by the Community Health Centre Tappal in Uttar Pradesh, certifying the birth of a female named Kanak Attri on October 16, 2022. The certificate includes details about the parents, Deeksha and Ajay Kumar, and their addresses. It is officially registered and recognized as a valid legal document for all official purposes.

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attricomputers2022
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110 views1 page

Adobe Scan 21 Jan 2025

This document is a birth certificate issued by the Community Health Centre Tappal in Uttar Pradesh, certifying the birth of a female named Kanak Attri on October 16, 2022. The certificate includes details about the parents, Deeksha and Ajay Kumar, and their addresses. It is officially registered and recognized as a valid legal document for all official purposes.

Uploaded by

attricomputers2022
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NO.

I GOVERNMENT OFTTAR PRADESH FORM-5


DEPARTMENT OF MEDICAL AND HEALTH

cOMMUNITY HEALTi CENTRE TAPPAL

BIRTH CERTIFICATE

REGISTRATION
(1SSUED UNDER SECTION 12/17 OF THE REGISTRATION OP BIRTHS &DEATHS ACT, 1969 AND RULE 8/13 OF THE UTTAR PRADESH
OF AIRTHS &DEATHS 1RULES 2002)

THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR COMMUNITY HEALTH CENTRE TAPPAL OF TAHSILBLOCK KHAIROF DISTRICT ALIGARH OF STATE/UNION TERRITORY UTTAR PRADESH, INDIA.

FR INAME: KANAK ATTRI fT /SEX: HTTI FEMALE

ftu ( DATE OF BIRTH: TH FU PLACE OF BIRTH:


16-10-2022 DWH MATHURA, MATHURA,
SINTEENTH-OCTOBER-TWO THOUSAND TWENTY TWO TAPPAL,KHAIR, ALIGARH,
UTTAR PRADESH

7 R NAME OF MOTHER: fNat ANAME OF FATHER:


DEEKSHA AJAY KUMAR
U HT I MOTHER'S AADHAAR NO: 3TTT T{ / FATHER'S AADHAAR N0:

rt TH THT AA1-frar TAT IADDRESS OF PARENTS ATdHE TIMEOF AAI-fTAT * A TATI PERMANENT ADDRESS OF PARENTS:
BIRTH OF THE CHILD.
NAGA KALAN, NAGAL KALAN,
JATTARI, NAGAL KALA., KHAIR, ALIGARH, UTTAR PRADESH- 202137 JATTARI, NAGAL KALA, KHAIR, ALIGARH,
UTTAR PRADESH- 202137

EST K64T /REGISTRATION NUMBER: t u r artra/DATE OF REGISTRATIGN:


B-2022 9-36126-002090 22-11-2022

REMARKS (IF ANY:

zâ fafr/ DATE OF 1SSUE: Tt e grfuarit / 1sSUING AUTHORITY:


22-11-2022
fEt ( H
REGISTRAR (BIRTH &DEATH)
COMMUNITY HEALTH CENTRE TAPPAL

tUPDATED ON
22-11-2022 14-16:10

aharge
Bth: neth Certificate
CHCTajl (Aligarh)
THISIS ACOMPUTER GENERATEDCERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE I`SUING AUTHORITY"
THE GOVT. OF INDIAVIDE CIRCULAR NO 1/122014-vS(CRS) DATED 27-JULY-2015 HAS
APPROVED THIS CERTIFICATE AS AVALID LEGAL DOCUMENT FOR ALL OFFiCIALPURPOSES"
r H T aaffra ENSI RE REGISTRATIONOF EVTRY BIRTHAND DEATII"

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