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- 51
MUMBIH
""ffiS"ffiTFEREATER
m.&rR.fi 3iltJqe.I,t ,/ public Health Department
TSTI m. 3,/ FORM NO.g
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(See Rule 9 of the Maharashtra Registration of Births & Deaths Rules, 1976)
frtq-d q-;qfi fr?"ft yr{rurrr ,/ cERTtFtcATE oF BTRTH
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lssued under section 12117 of the Flegistration of Births and Deaths Acts, 196g.

5.
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This is to certify that the following information has been taken from the original record of tsirth,
which is in the
register for il: ward of Brihanmumbai Mahanagarpalika.

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Name
Sex

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Name of Father

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Namg of Motheru,.;r,rri,tii ;i..! !
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Permanent Address of Father / Mother

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Nationality of Father / Motherl iij..i :i: irli.i.r :l iiij.j .l iii,.i

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