File 0001
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View File 0001 as PDF for free.
More details
- Words: 452
- Pages: 1
EnsureRegistrationof Every Birth and Death
rrrrrl^-Z-..2=).€F,r€.>.<.>..<.>.<.>.<.Vt€.7;.$.>.$,.}.$..}r€.1$A8ry,16g
5
ttt-------
HI
Z6
G\
offo.a-{uu u-
)i( ./r\\ /i\t
ffi-Jffi:S"ffi'"T tril * Er'! li-*ffi
ffi?Yffi',t'r:trtii*mit;,
f@
llt \l/
gildl$prGotre
,
t
prrra a\ - zr6lr o h,',,,-;;-\ ! i (See F ' O R M NO. NO 5 c - urgelLb r i l o < \ i l h oeiri. mair r c - - Rule FORM urgelLb oeiri. 5 8) GSS G.n68 eauunida) GsS unrido) unida) -
er [r^ Sl.No.
*r^--ttr^^-rr--r-r^^^^
4)
f+€n#fi/€*Rnsr6q?set
tu Y!
j$
I|
,i.
|
J$
||
\t, /t\
| |
,(l
|
etRTHCERTIFICATE BIRTH CERTTFTCATE CERTIFICATE
e ^e^c*t:i^n-n S
11 r ^p- n r -f ^ rr o l A ^ n ^ .f n ^ rf n P ^ -p: o ^ .i -c-r^r.o! r- -i n n 1 ' )t1r 11 1^ncf/C
il
I
\'t/
|
|
ry)
|
)X
I
ii;
L'i
h,r n^^+L i nzo\ (IssuedUnder (ttsued UnderSection Sectionl2l17 l2ll7 of Central CentralAct Act of Registration Registration of Birth Birth^and and Death1969) Death 1969) ,, tr ". cs ,l rr a e rdt lr ltn- .dt e- -r
$l
,Il G f 8 f,,l ??
^- fr hn! i - +rtr
,5|E)ul{ri ,S|!ou L{ri endor$ endorg lgbLi) lFbLF
(tgoe.b elqDuJb$ur (19691b -ot-p6u.rLop€t u,b8u €rqa orqt,Jlprr{. dgruq. 6puq ,9q ecr-6 6prrq u;gol r.rlb rJlrflq fi,tfl6412'i7-or rzlrz-*rde, dLP orgrr*ouuuugr) -s'ni,*nr,:,-sD
(!\ rl, )t{ it
This is to Certify that the following informationhas beentaken from ,nlrininu, li . recordof Birth whichis in theregisterfor (LocalArea)ward 05 MADURAICORpORATIOftof $1 DistrictMADURAfof State TAMILNADU.,,,,, 4)
)(
,"sr6',l LDneuru ' $9ffi,:.,,*n6,a,,b i11 05, e.ugrg g'"o ugtpuquugGorrrq"0tgFar( rDgI6Dtr ronperynudl, jr#ffi crrnn@
-;;;il
il o@Sauur:L6oar ersoencargilOp -poi" ,U."$dlourb.g, ,, $ / 6ruu.rn }|f Narne ,qp"" ,;, , '.,', , ' ^i*"'raLri ''' . FEMALE'] j ,l' / Sex/unosroorr-b sex urTo)l6TItD fl) ; ,l (t, "t*.$, ,.i.
-
;;il;X;
' otnrtngtiiil','1 , 't'_i'. ,, 4\ Dateof Birth/ tnpbp*pg t1$'i;lt 1', .',:," ;, ' '* ',r, Rajarnnospiial \ilt Place of Bifthi 'i'pbp6urb ,, MasiStreet ii( i . :'rl,g|;Iofh '{lr':1111 ' '"1 Milaurai fu :',
Itt
" ",,'. "
Narneof FatherI gprn,guso, ouu:n
Ul /N
Nameof MotherI pnuswr ourun
Yl
Pemranent Residentialaddress of theparents pnw ppapurrflorgoarurnor efrg groeirrfl
:
{!}[( I l-
tt
1I\
sv.ei<tpri .. ,.,:
\y
r
4
4\
:
Address of theparent arthetimebirthof child GunelaupGpnrflem g>oo.rrfl : topEdopCIpnr5|an
',PARAMES*ARAM PILLAILANE NoRrH MAsrsrREEr
MADURAT
lffiab,\ RegistrationNo.r"t*ffi\
{\
s9\'\ Date of*"'':':::"^1r"ffi o"r^s "rr?p-'
;;;;;;q"€)"F) . ) St} i
Darc tGp$ 12l0e20\
oB
.'. : 78/1e88/os
.
tt/u7lreEE rr/'7/rs*B
i
$, )'[
'
;
DateorRegistration i r{F{
\y
\y
/N iil
4i $/ l4)
:l''':i:'r-
{)
lft
$
SELVADURAI ,;.i I J
ii; 4i \i I
,1,.i.1 $
..' \
ih '''
"$s 'l pooi"r"", ,"",*u,n,...,ro*n"sf Sanita,",n,o..,ff;.t"r-'#f7r]",*,"
rrrrrl^-Z-..2=).€F,r€.>.<.>..<.>.<.>.<.Vt€.7;.$.>.$,.}.$..}r€.1$A8ry,16g
5
ttt-------
HI
Z6
G\
offo.a-{uu u-
)i( ./r\\ /i\t
ffi-Jffi:S"ffi'"T tril * Er'! li-*ffi
ffi?Yffi',t'r:trtii*mit;,
f@
llt \l/
gildl$prGotre
,
t
prrra a\ - zr6lr o h,',,,-;;-\ ! i (See F ' O R M NO. NO 5 c - urgelLb r i l o < \ i l h oeiri. mair r c - - Rule FORM urgelLb oeiri. 5 8) GSS G.n68 eauunida) GsS unrido) unida) -
er [r^ Sl.No.
*r^--ttr^^-rr--r-r^^^^
4)
f+€n#fi/€*Rnsr6q?set
tu Y!
j$
I|
,i.
|
J$
||
\t, /t\
| |
,(l
|
etRTHCERTIFICATE BIRTH CERTTFTCATE CERTIFICATE
e ^e^c*t:i^n-n S
11 r ^p- n r -f ^ rr o l A ^ n ^ .f n ^ rf n P ^ -p: o ^ .i -c-r^r.o! r- -i n n 1 ' )t1r 11 1^ncf/C
il
I
\'t/
|
|
ry)
|
)X
I
ii;
L'i
h,r n^^+L i nzo\ (IssuedUnder (ttsued UnderSection Sectionl2l17 l2ll7 of Central CentralAct Act of Registration Registration of Birth Birth^and and Death1969) Death 1969) ,, tr ". cs ,l rr a e rdt lr ltn- .dt e- -r
$l
,Il G f 8 f,,l ??
^- fr hn! i - +rtr
,5|E)ul{ri ,S|!ou L{ri endor$ endorg lgbLi) lFbLF
(tgoe.b elqDuJb$ur (19691b -ot-p6u.rLop€t u,b8u €rqa orqt,Jlprr{. dgruq. 6puq ,9q ecr-6 6prrq u;gol r.rlb rJlrflq fi,tfl6412'i7-or rzlrz-*rde, dLP orgrr*ouuuugr) -s'ni,*nr,:,-sD
(!\ rl, )t{ it
This is to Certify that the following informationhas beentaken from ,nlrininu, li . recordof Birth whichis in theregisterfor (LocalArea)ward 05 MADURAICORpORATIOftof $1 DistrictMADURAfof State TAMILNADU.,,,,, 4)
)(
,"sr6',l LDneuru ' $9ffi,:.,,*n6,a,,b i11 05, e.ugrg g'"o ugtpuquugGorrrq"0tgFar( rDgI6Dtr ronperynudl, jr#ffi crrnn@
-;;;il
il o@Sauur:L6oar ersoencargilOp -poi" ,U."$dlourb.g, ,, $ / 6ruu.rn }|f Narne ,qp"" ,;, , '.,', , ' ^i*"'raLri ''' . FEMALE'] j ,l' / Sex/unosroorr-b sex urTo)l6TItD fl) ; ,l (t, "t*.$, ,.i.
-
;;il;X;
' otnrtngtiiil','1 , 't'_i'. ,, 4\ Dateof Birth/ tnpbp*pg t1$'i;lt 1', .',:," ;, ' '* ',r, Rajarnnospiial \ilt Place of Bifthi 'i'pbp6urb ,, MasiStreet ii( i . :'rl,g|;Iofh '{lr':1111 ' '"1 Milaurai fu :',
Itt
" ",,'. "
Narneof FatherI gprn,guso, ouu:n
Ul /N
Nameof MotherI pnuswr ourun
Yl
Pemranent Residentialaddress of theparents pnw ppapurrflorgoarurnor efrg groeirrfl
:
{!}[( I l-
tt
1I\
sv.ei<tpri .. ,.,:
\y
r
4
4\
:
Address of theparent arthetimebirthof child GunelaupGpnrflem g>oo.rrfl : topEdopCIpnr5|an
',PARAMES*ARAM PILLAILANE NoRrH MAsrsrREEr
MADURAT
lffiab,\ RegistrationNo.r"t*ffi\
{\
s9\'\ Date of*"'':':::"^1r"ffi o"r^s "rr?p-'
;;;;;;q"€)"F) . ) St} i
Darc tGp$ 12l0e20\
oB
.'. : 78/1e88/os
.
tt/u7lreEE rr/'7/rs*B
i
$, )'[
'
;
DateorRegistration i r{F{
\y
\y
/N iil
4i $/ l4)
:l''':i:'r-
{)
lft
$
SELVADURAI ,;.i I J
ii; 4i \i I
,1,.i.1 $
..' \
ih '''
"$s 'l pooi"r"", ,"",*u,n,...,ro*n"sf Sanita,",n,o..,ff;.t"r-'#f7r]",*,"
