.

8Tj̆\hRjSD^ah\h58apJpD°WjIpWj\hˆeSjKƛ\WhȺl`^°DP½\h5Tj_pah\h58ajJpȐ[h^SWhȤkK^hS^hԌ]Wh[haWF^‰Kƣ_hWh
Fh^Ž]hVh^ShɀkDhWhbjapƛ̃WF^˴h\be°^Wh^‰KƨN^\h5Jp

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
Shivendranagar of Taluka Gariadhar of District Bhavnagar of Gujarat State, India.

Wh\Name : ‫ٶڤڗڌگچڎښړڬږڧڗڤڛڤڙڦڌڤڗڠ‬SABHADIYA ĤiSSex : Ḛṏ‫ڦ‬Female

LABHUBEN RANCHHODBHAI
Kƛ\Sh^ŽEDate of Birth : 10/03/1959 Kƛ\ƨT`Place of Birth :

Tuesday, March 10, 1959 Ⱥkibapƛ̃WF^AT-SHIVENDRANAGAR

\hShȵk5Wh\Name of Mother : iXShȵk5Wh\Name of Father :

‫ړڬږڧژڤڞ‬SHAMUBEN ^RJsP[h:d[hPŽ]hRANCHHODBHAI SABHADIYA

Zh`DWhKƛ\d\]p\hShiXShȵk5d^WhȺk5Address of parents \hShiXShȵk5Dh]\jd^WhȺk5Permanent Address of

at the time of Birth of child : Parents :
AT-SHIVENDRANAGAR,TA-GARIYADHAR,DIST- AT-SHIVENDRANAGAR,TA-GARIYADHAR,DIST-BHAVNAGAR
BHAVNAGAR / Ⱥkibapƛ̃WF^ShɀkDsFh^Ž]hVh^ Ⱥkibapƛ̃WF^ShɀkDsFh^Ž]hVh^ĥƣ_s[haWF^
ĥƣ_s[haWF^

WҭVRj˲\h5DRegistration No. : 1 WҭVRjWjSh^ŽERegistration Date : 19/04/2024

^Ž\hD½d iabpcWҭV Remarks (if any) : ̆\hRX́W5Z^Certificate No. : B202420311283

/SDM PALITANA ORDER NO B& D 05/2024

̆\hRX́DhQŽ8Ɯ]hWjSh^ŽEDate of issue : ̆\hRX́8XWh^dĂhiVDh^ŽWjdeŽSignature of Issuing
Authority :
19/04/2024 ..................................................................................

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