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Haryana Birth Certificate Sample

This document is a birth certificate for Diyaan DahIya born on January 29, 2020 at Yashroop Hospital in Gurugram, Haryana, India. The mother's name is Jyoti and the father's name is Deepak Dahlya. Their permanent address is listed as 1, Sukhrall, Gurugram, Haryana 122001. The registration number for this birth certificate is B-2020: 6-90171-001784 and it was issued on February 10, 2020 by the Registrar of Births and Deaths for the Municipal Corporation of Gurugram.

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Captdahiya Deepak
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4K views1 page

Haryana Birth Certificate Sample

This document is a birth certificate for Diyaan DahIya born on January 29, 2020 at Yashroop Hospital in Gurugram, Haryana, India. The mother's name is Jyoti and the father's name is Deepak Dahlya. Their permanent address is listed as 1, Sukhrall, Gurugram, Haryana 122001. The registration number for this birth certificate is B-2020: 6-90171-001784 and it was issued on February 10, 2020 by the Registrar of Births and Deaths for the Municipal Corporation of Gurugram.

Uploaded by

Captdahiya Deepak
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
  • Certificate of Birth

-5

NO. 1 GOVERNMENT OF HARYANA FORM-5

DEPARTMENT OF HEALTH SERVICES

MUNICIPAL CORPORATÍON GURUGRAM

THTUT- UT
BIRTH CERTIFICATE

T U T ZH, 1969 TT 12 17 7T TATUTT TH T T U T 7 , 2002 8/13 TA FTT 7 T TT


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

ETATUT, HT ToT-7 F 3TT


THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR MUNICIPAL CORPORATION GURUGRAM OF TAHSIL/BLOCK GURUGRAM OF DISTRICT GURUGRAM OF STATE/UNION TERRITORY HARYANA,
INDIA.

FTFNAME: DIYAAN DAHIYA TA3T/SEX: T / MALE

7HTHT / DATE OF BIRTH: HH TUTH PLACE OF BIRTH:


29-01-2020 YASHROOP HOSPITAL
TWENTY-NINTH-JANUARY-TWO THOUSAND TWENTY

HTAT T A NAME OF MOTHER: fuAT 7TA NAME OF FATHER:


JYOTI DEEPAK DAHIYA

TTY MOTHER'S AADHAAR NO: TT7 /FATHER'S AADHAAR NO:


XXXXXXXX1155

a 7 A 7 H HT-T T /ADDRESS OF PARENTS AT THE TIME OF HTT-TT 7 T A AT/ PERMANENT ADDRESS OF


BIRTH OF THE CHILD: PARENTS:
1,
SUKHRALI,, GURUGRAM, GURUGRAM, HARYANA- 122001
SUKHRALI, GURUGRAM, GURUGRAM,
HARYANA 122001
T 7 TE/REGISTRATION NUMBER: TstteU ATTE/ DATE OF REGISTRATION:
B-2020: 6-90171-001784 29-01-2020

euT/REMARKS (IF ANY):

HTT A T / DATE OF ISSUE: TT & 3TAT TT9ATTISSUING AUTHORITY:


10-02-2020
REGISTRAR (BIRTH & DEATH))
MUNICIPAL CORPORATION GURUGRAM

UPDATED ON :
29-01-2020 [Link]

"THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILESIGNATURE OFTHE 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".

T z rg T z u gfafta ai ENSURE REGISsTRATHONOF EVERY [Link]"

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