BIRTH CERTIFICATE
GENDER :
,
S-UHID :
DATE OF BIRTH :
PLACE OF BIRTH :
NAME OF MOTHER :
NAME OF FATHER :
AADHAAR NUMBER OF MOTHER :
XXXXXXXX-
AADHAAR NUMBER OF FATHER :
XXXXXXXX-
PRESENT ADDRESS OF MOTHER
AT THE TIME BIRTH OF THE
CHILD:
PERMANENT ADDRESSOF THE
MOTHER :
REMARKS (IF ANY) :
- - -
CERTIFICATE NO:
DATE OF REGISTRATION :
DATE OF ISSUE :
UPDATED ON :
UDIN :
Signature Valid Digitally Signed. Name:SUCHITRA BHUNIYA Date: ISSUING AUTHORITY :
Signature Valid Digitally Signed. Name:SUCHITRA BHUNIYA Date: ISSUING AUTHORITY :
NAME :
GOVERMENT OF WEST BENGAL
DEPARTMENT OF HEALTH AND FAMILY WELFARE
(ISSUED UNDER SECTION 12 SUB SECTION (17) OF THE REGISTRATION OF BIRTHS AND DEATHS ACT 1969, GOVT. OF INDIA AND RULE 8/13, REGISTRATION OF BIRTHS AND DEATHS RULES 2000, GOVT. OF WEST BENGAL)
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORDS OF BIRTH WHICH IS THE REGISTER FOR OF TAHSIL/BLOCK OF DISTRICT OF STATE/UNION TERRITORY WEST BENGAL, INDIA.
REGISTRAR (BIRTH & DEATH)