Birth Certificate

Uploaded by sct.vijay on Apr 17, 2013

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Birth Certificate Format

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Date uploaded 
Apr 17, 2013

Copyright
Key No. B0070167-1005285
© Attribution Non-Commercial FORM
(BY-NC)No.5
(See Rule 8)
tIcf kÀ¡mÀ

Available Formats
GOVERNMENT OF KERALA
\KcImcy hIp¸v
DEPARTMENT OF URBAN AFFAIRS
PDF, TXT orkÀ«n^n¡äv
read online from Scribdt]cv
\ðIp¶ Xt±iØm]\¯nsâ Xncph\´]pcw tImÀ¸tdj³
Name of Local Government issuing certificate Thiruvananthapuram Corporation
P\\ kÀ«n^n¡äv
Share this document BIRTH CERTIFICATE
(Issued Under Section 12)

 
(1969þse P\\þacW cPnkvt{Sj³ BIvSnse 12þmw hIp¸pw 1999þse tIcf P\\þacW cPnkvt{Sj³ N«§fnse 8þmw
N«hpw A\pkcn¨v \ðIp¶Xv).
(Issued under Section 12 of the Registration of Births and Deaths Acts, 1969 and Rule 8 of the Kerala Registration of Births and Deaths
Rules, 1999)

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Xmsg ]dbp¶ hnhc§Ä tIcf kwØm\¯nse Xncph\´]pcw Pnñbnse Xncph\´]pcw Xmeq¡nse Xncph\´]pcw
tImÀ¸tdj³ þse (Xt±iØm]\w) AÊð P\\ cPnÌdnð \n¶v FSp¯n«pÅhbmsW¶v km£ys¸Sp¯p¶p.
This is to certify that the following information has been taken from the original record of birth which is the register for (local area/local
body) Thiruvananthapuram Corporation of Taluk Thiruvananthapuram of District Thiruvananthapuram of State Kerala.


t]cv/ Name : Um³ tPmÀPv sPÌn³ / DAN GEORGE JESTIN
B¬/s]¬/ Sex B¬/ Male
:
P\\ XobXn/ Date of Birth : 21/05/2010
TWENTY ONE/MAY/TWO THOUSAND TEN

Email
P\\ Øew/ Place of Birth :
tIcfm C³Ìnäyq«v Hm^v saUn¡ð kb³kkv, Xncph\´]pcw/

Kerala Institute Of Medical Sciences (KIMS), Thiruvananthapuram

amXmhnsâ t]cv / Name of Mother Pn³ adnbw PÌn³ / GEEN MARIAM JESTIN
:
]nXmhnsâ t]cv/ Name of Father
PÌn³ KohÀKokv / JESTIN GEEVARGHESE
DidIp«nbpsS
you find this document
P\\ kab¯v
useful? :

: Bimcntb¯v hoSv, Nm¯¶p¸pg , Nqct¡mSv ]n H, ASqÀ, ]¯\wXn«,

amXm]nXm¡fpsS taðhnemkw tIcfw, C³Uy
Address of the parents at the time of : Assariathu House, Chathnnopuzha, Choorakodu P O, Adoor, Pathanamthitta,
birth of the child Kerala, India

amXm]nXm¡fpsS Øncamb : Bimcntb¯v hoSv, Nm¯¶p¸pg , Nqct¡mSv ]n H, ASqÀ, ]¯\wXn«,

taðhnemkw tIcfw, C³Uy

Permanent address of parents : Assariathu House, Chathnnopuzha, Choorakodu P O, Adoor, Pathanamthitta,

Kerala, India

Is this content
Number inappropriate? Report this Document
cPnkvt{Sj³ \¼À/ : 13115/2010 cPnkvt{Sj³ XobXn/
: 29/05/2010
Registration Date of Registration
A`n{]mb¡pdn¸v/ Remarks (if any) :

\ðIp¶ XobXn/ Date of Issue : 28/01/2013 (13:37) Last Updated on 04/08/2010 (11:52)

\ðIp¶ A[nImcnbpsS taðhnemkw/

: Registrar of Births and Deaths ,
Address of the issuing authority
Thiruvananthapuram Corporation

“Ensure Registration of Every birth and death”

“Hmtcm P\\hpw acWhpw cPnÌÀ sNbvXpsh¶v Dd¸phcp¯pI”
This certificate is computer generated and does not require any Seal/Signature in original
The Govt. vide G.O.(Ms) No.202/2012/LSGD dated 25/07/2012 has approved this certificate as a valid document for all official purposes
Authenticity of this certificate can be verified at www.cr.lsgkerala.gov.in. The Key Number is unique to each event.
Software developed and supported by Information Kerala Mission.
Certificate printed before the last updated date is invalid
Page 1/1

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