BIRTH CERTIFICATE

This birth certificate is issued under birth and Death Registration Act, 1969.

Chief Registrar (Born and Death)

Punjab, Chandigarh,

This is to certify that the following information has been taken from the original
birth record , which is registered in the birth register of local registrar, birth and
death.

The Village Brahmanmajra tehsil saman District Patiala is registered in the register
of Punjab .

Name : Navdeep Sharma Registration No. 223

Date of birth : 02-07-2001

Gender : Male \ Female date of Registration : 15-07-2001

Birth place : Brahmanmajra

Mothers name : Sukhwinder Rani

Father’ name : Bali RAM son of kavu ram

Permanent Address of parents : Village Brahmanmajra Post office Ghagga Tehsil

smana District Patiala.

Signature, Names & Address issuing Authority:

Signature \ STAMPS

Date : 15-07-2021

Name and Designation of Official who prepared certificate

………………………(signatures ) ………………………………