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Uttar Pradesh Birth Certificate 2018

This document is a birth certificate for Samarth Singh born on November 16th, 2018 in Fulwamau, Uttar Pradesh, India. It provides details of his name, sex, date and place of birth, names and Aadhaar numbers of his parents (Deepika Singh and Vivek Singh), and registration information from the local government records. The certificate was issued on November 25th, 2022 and is a valid legal document for all official purposes according to the Government of India.

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Divyansh Singh 11A
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441 views1 page

Uttar Pradesh Birth Certificate 2018

This document is a birth certificate for Samarth Singh born on November 16th, 2018 in Fulwamau, Uttar Pradesh, India. It provides details of his name, sex, date and place of birth, names and Aadhaar numbers of his parents (Deepika Singh and Vivek Singh), and registration information from the local government records. The certificate was issued on November 25th, 2022 and is a valid legal document for all official purposes according to the Government of India.

Uploaded by

Divyansh Singh 11A
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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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
ाम पंचायत फुलवमौ
GRAMA PANCHAYAT FULWAMAU

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 सूचना जम के मूल अभलेख से ल गई है जो क ाम पंचायत फुलवमौ तहसील फतेहपुर िजला फतेहपुर 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 GRAMA PANCHAYAT FULWAMAU OF TAHSIL/BLOCK FATEHPUR OF DISTRICT FATEHPUR OF STATE/UNION TERRITORY UTTAR PRADESH,
INDIA.

नाम / NAME: SAMARTH SINGH लंग / SEX: पुरष / MALE

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


16-11-2018 FULWAMAU, CHURIYANI,
SIXTEENTH-NOVEMBER-TWO THOUSAND EIGHTEEN FULWAMAU,FATEHPUR, FATEHPUR,
UTTAR PRADESH, 212601

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


DEEPIKA SINGH VIVEK SINGH

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX1329
XXXXXXXX6959

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME OF माता-पता के थायी पता/ PERMANENT ADDRESS OF PARENTS:
BIRTH OF THE CHILD:
FULWAMAU, FULWAMAU,
CHURIYANI, FULWAMAU, , FATEHPUR, FATEHPUR, UTTAR PRADESH- 212601 CHURIYANI, FULWAMAU, FATEHPUR, FATEHPUR,
UTTAR PRADESH- 212601

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


B-2022: 9-25563-000004 25-11-2022

टपणी / REMARKS (IF ANY):


---

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
25-11-2022
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
ाम पंचायत फुलवमौ
GRAMA PANCHAYAT FULWAMAU

UPDATED ON :
25-11-2022 08:18:00

"THIS IS A COMPUTER GENERATED CERTIFICATE. "


" 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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