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Birth Certificate: Government of Uttar Pradesh

This document is a birth certificate for Sameer Kumar Pandey born on August 16th, 1980 in Lucknow, Uttar Pradesh, India. It provides details of his name, sex, date and place of birth, names and addresses of his parents (Asha Pandey and Ishwari Dutt Pandey) at the time of birth and currently. It also includes the registration number and date for this birth certificate issued by the Registrar of Births & Deaths of Nagar Nigam Lucknow.

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7K views1 page

Birth Certificate: Government of Uttar Pradesh

This document is a birth certificate for Sameer Kumar Pandey born on August 16th, 1980 in Lucknow, Uttar Pradesh, India. It provides details of his name, sex, date and place of birth, names and addresses of his parents (Asha Pandey and Ishwari Dutt Pandey) at the time of birth and currently. It also includes the registration number and date for this birth certificate issued by the Registrar of Births & Deaths of Nagar Nigam Lucknow.

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सं.

1 उर देश सरकार प-5


NO. 1 GOVERNMENT OF UTTAR PRADESH FORM-5

चकसा एवं वाय वभाग DEPARTMENT OF MEDICAL AND HEALTH

नगर नगम लखनऊ


NAGAR NIGAM LUCKNOW

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा उर देश जम मृयु रिजकरण नयम, 2002 के नयम 8/13 के अंतगत जार कया गया )
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE UTTAR PRADESH REGISTRATION OF
BIRTHS & DEATHS RULES 2002)

यह मािणत कया जाता है ननलिखत सुचना जम के मूल अभलेख से ल गई है जो क नगर नगम लखनऊ तहसील लखनऊ िजला लखनऊ राय/संघ देश
उर देश, भारत के रिजटर म उिलिखत है ।
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR
NAGAR NIGAM LUCKNOW OF TAHSIL/BLOCK LUCKNOW OF DISTRICT LUCKNOW OF STATE/UNION TERRITORY UTTAR PRADESH, INDIA.

नाम / NAME: SAMEER KUMAR PANDEY लंग / SEX: पुरष / MALE

जम तथ / DATE OF BIRTH: जम थान/ PLACE OF BIRTH:


16-08-1980 B-64 RAJEEV NAGAR KANCHANA BEHARI , MARG KALYANPUR
SIXTEENTH-AUGUST-ONE THOUSAND NINE HUNDRED EIGTHY VIKAS NAGAR ,
LUCKNOW,LUCKNOW, LUCKNOW,
UTTAR PRADESH

माता का नाम / NAME OF MOTHER: पता का नाम / NAME OF FATHER:


ASHA PANDEY ISHWARI DUTT PANDEY

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME माता-पता के थायी पता/ PERMANENT ADDRESS OF PARENTS:
OF BIRTH OF THE CHILD:
B-64 RAJEEV NAGAR KANCHANA BEHARI , MARG KALYANPUR VIKAS NAGAR , B-64 RAJEEV NAGAR KANCHANA BEHARI, MARG KALYANPUR
LUCKNOW, , LUCKNOW, LUCKNOW, UTTAR PRADESH VIKAS NAGAR,
LUCKNOW, LUCKNOW, LUCKNOW,
UTTAR PRADESH

पंजीकरण संया / REGISTRATION NUMBER: पंजीकरण तारख / DATE OF REGISTRATION:


B-2018: 9-90321-069050 25-10-2018

टपणी / REMARKS (IF ANY):


24145/95

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
25-10-2018
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
नगर नगम लखनऊ
NAGAR NIGAM LUCKNOW

UPDATED ON :
25-10-2018 14:55:57

"THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY"
" THE GOVT. OF 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".

" येक जम एवं मृयु का पंजीकरण सुनचत कर" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "

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