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Rekha Birth

This document is Rekha Kushwaha's birth certificate from Grama Panchayat Khodera in Madhya Pradesh, India. It provides her identifying information like name, gender, date of birth, place of birth, parents' names and addresses. It was issued under the Registration of Births and Deaths Act of 1969 and bears the registration number and date as well as the issuing authority.

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aslambeg771
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277 views1 page

Rekha Birth

This document is Rekha Kushwaha's birth certificate from Grama Panchayat Khodera in Madhya Pradesh, India. It provides her identifying information like name, gender, date of birth, place of birth, parents' names and addresses. It was issued under the Registration of Births and Deaths Act of 1969 and bears the registration number and date as well as the issuing authority.

Uploaded by

aslambeg771
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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सं.

1 मय देश सरकार प-5


NO. 1 GOVERNMENT OF MADHYA PRADESH FORM-5
योजना, आिथक एवं सांियक वभाग
DEPARTMENT OF PLANNING, ECONOMICS & STATISTICS
ाम पंचायत खोदेरा
GRAMA PANCHAYAT KHODERA

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा मय देश जम मृयु रिजकरण नयम, 1999 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 MADHYA PRADESH
REGISTRATION OF BIRTHS & DEATHS RULES 1999)

यह मािणत कया जाता है ननलिखत सूचना जम के मूल अभलेख से ल गई है जो क ाम पंचायत खोदेरा तहसील बदेवगढ़ िजला टकमगढ़ राय/संघ
देश मय 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 KHODERA OF TAHSIL/BLOCK BALDEOGARH OF DISTRICT TIKAMGARH OF STATE/UNION TERRITORY MADHYA PRADESH,
INDIA.

नाम / NAME: REKHA KUSHWAHA लंग / SEX: महला / FEMALE

आधार नंबर / AADHAAR NO.:


XXXXXXXX6425

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


30-07-2008 KHODERA, ARORA / KHODERA,
THIRTIETH-JULY-TWO THOUSAND EIGHT KHODERA,BALDEOGARH, TIKAMGARH,
MADHYA PRADESH, 472111

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


SHEELA KUSHWAHA GORISHANKAR KUSHWAHA

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX9101
XXXXXXXX8885

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:
KHODERA, KHODERA,
ARORA / KHODERA, KHODERA, , BALDEOGARH, TIKAMGARH, MADHYA ARORA / KHODERA, KHODERA, BALDEOGARH, TIKAMGARH,
PRADESH- 472111 MADHYA PRADESH- 472111

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


B-2024: 23-02699-000001 17-02-2024

टपणी / REMARKS (IF ANY):


NAYAB TEHSEELDAR KE ADESHNUSAR

जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
17-02-2024
उप-रिजार (जम एवं मृयु)
SUB-REGISTRAR (BIRTH & DEATH)
ाम पंचायत खोदेरा
GRAMA PANCHAYAT KHODERA

UPDATED ON :
17-02-2024 06:36:17

"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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