Page No. 31 Form “A”
COPY REGISTER OF BIRTH Residence FAZAL ABAD Union Council FAZAL ABAD
Tehsil DINA
Father’s Occupation, Cast, Residence
No.
Date Registration of birth
Date Birth of Child
Gender
Name of Father with I.D.
Place of Birth
1
2
3
4
5
6
7
116
25/01/2005
01/01/2005
Female
Fazal Abad
Service Islam Fazal Abad
Date of Birth (In Words)
Muhammad Akhtar S/O Hukam Dad Khan
FIRST JANUARY TWO THOUSAND FIVE
Name of Infant
8 Aneesa Shehzadi
Age of Mother
9 30 years
District JHELUM Name of Midwife / Name of Lady Doctor
10 Al-Karam Hospital Jhelum
Name of Alive Children
Name of Reporter
11
12
2
Muhammad Zareen (Watchman)