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sorrerest mate / Certificate No B01
Fey
Nanded Waghala City,
a wry staat afte, (69 arr
rare ar area,
(Issued under section 12/17 of the Registration
Registration of Births and Deaths Rules,2000.)
of Births
renin aermare a ane ot,
Tara atee Warr eET,
This is to certify that the following information has bee:
register for Nanded Waghala City Municipal Corporation
NANDED of MAHARASTRA State
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Name of child : CHANCHAL
oem fare /
Date of Birth: 14-09-2009
area pt ara : rerr-afar arene
Full Name of Mother: REKHA ANIL PAIKRAO
araren aearearaat are, afrarta rat
ait ate, Aree,
Address of parents at the time of birth of the child
Somesh Colony,Nanded
atten ania /
Registration No : 1520
Remarks (if any) / rar
sparvorra Pera fei /
Date of issue of certificate:
06-03-2010 10:56:15
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te
for
ein er er se ares a
GOVERNMENT OF MAHARASHTRA
Health Depart
a ATT
BIRTH CERTIFICATE
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STHAT® 4 / Form No-5
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Murigipal Corporation
& Deaths Act, 1969 and Rule 8/13 of the Maharashtra
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taken from the original record of birth which is the
of Area NANDED of Tahsil/Block NANDED of District
fiir
Sex
Place of Birth: Rayat Hospital
ait
FEMALE
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Full Name of Father; ANIL PAIKRAO
are, ahr ere TAT
arb arar are, seam, 8, 3
Permanent Address of Parents:
SAIBABA NAGAR, KALYAN, MUMBAI EAST.
ate Raw /
Date of Registration : 06-03-2010
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Signature of theTssuiliG AUTHBr@PEICEN
DIR & DEATH REOISTRA
Nanded Woghata Clty
sifira-aTAT weunielpal Corporation Nanded |
Address of the issuing authority :
"Ensure Registration of every birth & death" aS
PROGRESS CARD
ACADEMIC YEAR : 2092-2005
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Roll No. _lo Name: Pai kerao Chanche| Std: oars
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