S14-4 FORM-5

GOVERNMENT OF GUJ ARAT

DEPARTMENT OF HEALTHn AND FAMILY WELFARE BA 3241274

H HUgi4a
BIRTH CERTIFICATE
(4 HRRt iel »AGuH, 1eECHl saH 12/19 rid et ivel eL, 201/u PuH-C H)
(lsucd under Section 12/17 of the Registration of Birnhs and Deaths Act, 1969 and Rule 8 of the Gujarat Registration of Binths and Dcaths Rules, 201)

This is to certify that the following information has been taken from the original record of birth which is in the register for Village/City
Bhui(M) of Taluka Bhuj of District Kachchh of Gujarat State, India.

lH/Name HlIEL HAlE / MD ADYAN MURSHED Sex / Male

VA d / Date of Bith :30/08/2023 HnPlace of Birth
Wednesday, August 30, 2023 G.K.Hospital (civil)
Allg u/Name of Mother al lH/Name of Father:
l zaAL APSANA SULTANA lene ouna yile / MOHAMMAD BAZLE MURSHED
LOS Y Hd *Ut-Artlg a2uj Address of parents All Ndld 51l a2UY / Permanent Address of
at the time of Birth of child Parents
MUNDRA KACHCHH / yoal S29 CARNELGOLA, WARD NO.9, PS. KOTWALI, PO. MIDNAPORE
DIST. PASCHIM MEDINIPUR, STATE. WEST BENGAL

lugl sais/Registration No.: 7749 Alupll l du/Registration Date: 02/09/2023

lHLS (Aau Au)/Remarks (if any) yHIRua iR/ Certifcate No. : B202310727235
0

yHIIua stdl ulatl dliu/ Date of issue yHIRIua AIUl? ArtlAst:lAl AS/ Signature of Issuing
Authority
29/09/2023
NAG *************************************** *****************************

6 1 9 1 8 3

DEATH

SUB-REGISTRAR
BIRTH&DEATH
BHUJ NAGARPALIKA

4d (auo) ror 1NyIVRnddBAkcKLbCUqzq7exCAmauaP/ows/akpcByTFIWUTKS6ych4BLXqHBC

 1-4 FORM-5

GOVERNMENT OF GUJARAT

FAMILY WELFARE BA 32412744

DEPARTMENT OF HEALTH AND

BIRTH CERTIFICATE
q-H2L ütel FuL, 2 0 1 ( L a - c a )
( 428t Ü4el AA, 1cEcl s H 12/19 Rdt
8 of the Gujarat Registration of
Births and Deaths Rules. 2018)
Deaths Act, 1969 and Rule
(ssued under Section 12/17 ofthe Registration of Birnhs and

8.
ugsttl gY UN/adrotl 2aezui
the original record of birth which is in the register for Village/City
This is to certify that the followinginformation has been taken from
of District Kachchh of Gujarat State, India.
Bhuj(M) of Taluka Bhuj
MURSHED la Sex 4 /Male
lH/Name H uEA Hal / MD ADYAN
30/08/2023 A UN/Place of Birth
VA H/Date of Birth
Wednesday, August 30, 2023 G.K.Hospital (civil)
Hllg lH/Name of Mother : Adlg un/Name of Father
/ APSANA SULTANA
Ague ausa yle / MOHAMMAD BAZLE MURSHED
A 4AAL
GLLnSotl %H UHd Hitl-Artd 2ru Address of parents l r l - A g i u l azUy / Permanent Address of

at the time of Birth of child Parents:

CARNELGOLA, WARD NO.9, PS. KOTWALI, PO. MIDNAPORE
MUNDRA KACHCHH /Hoal s2
DIST. PASCHIM MEDINIPUR, STATE. WEST BENGAL

lugl 54LS/Registration No.: 7749 ilugl l tAu/Registration Date: 02/09/2023

lH (aâu lu)/Remarks (if any) yuua iuR/ Certificate No. 8202310727235

0

yHIRIua stdl unaull alU / Date of issue yHUgIua uolR drtlAstElI AáV Signature of Issuing
Authority
29/09/2023

GARA
RTH&DEAT
1913

SUB REGISTRAR
BIRTH &DEATH
BHUJ NAGARPALIKA

IWUNML
(uu) vo m IVRpridBAkcKLbCUq2q7exCAmauaPjows/akpcBy7/FWu7K56ych4BLX/qHBC
 S14-4 FORM-5

GOVERNMENT OF GUJARAT

WELFARE BA 3241274
DEPARTMENT OF HEALTH AND FAMILY

H uHIGIUA
BIRTH CERTIFICATE
Ü4el Fai, 201(L HH- 4 )
-tÜel 3Aa, 1cEc-l saH 12/19 u i t
VH-421
HRRI Births and Deaths Rules. 2018
( 1969 and Rule 8 of the Gujarat Registration of
(lssucd under Section 1217 ofthe Registration of Births and Deaths Act,

been taken from the original record of birth which is in the register for Village/City
This is tocertify that the following information has
Bhuj(M) of Taluka Bhuj of District Kachchh of Gujarat State, India.

olH/Namee H l U t l e / MD ADYAN MURSHED nd Sex: y/Male

:30/08/2023 A ANPlace of Birth
SH l{/Date of Birth

Wednesday, August 30, 2023 G.K.Hospital (civil)

Hlld H/Name of Mother Nd o/Name of Father:
AlguE aunA ylE 1MOHAMMAD BAZLE MURSHED
ü Z4AltL / APSANA SULTANA
ALOs H HHa Hltl-Nalg ARtujy Address of parents Aldl a l g sial azotuj / Permanent Address of
Parents
at the time of Birth of child CARNELGOLA, WARD No.9, PS. KOTWALI, PO. MIDNAPORE
MUNDRA KACHCHH/yokl s29
DIST. PASCHIM MEDINIPUR STATE. WEST BENGAL

l e l 5is/Registration No.: 7749 Augl l dlsli/Registration Date: 02/09/2023

AHusa (aaN Au)/Remarks (if any): yHugua dR/ Certificate No. B202310727235
/0

yHugua stéd uoll tiglu / Date ofissue yHURIuA AIUtl? UriUAsáll uélv Signature of Issuing
Authority:
29/09/2023 * * * * * * * * * * .

NAG

H&O D E A T H

SUB REGISTRAR
BIRTH & DEATH
BHUJ NAGARPALIKA

a61 .

(av) ror- co9YVRprldBAkcKLbcUq2q7oxCAmauaPj0WS/aKpcBy7/FIWu7K56ych4BLX/qHBC