सं.

1 लाख सरकार प-5

NO. 1 GOVERNMENT OF LADAKH FORM-5
वाय और परवार कयाण वभाग
DEPARTMENT OF HEALTH AND FAMILY WELFARE

MUNICIPAL COMMITTEE LEH

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा लाख जम मृयु रिजकरण नयम, 2019 के नयम 8/13 के अंतगत जार कया गया )
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE LADAKH REGISTRATION OF
BIRTHS & DEATHS RULES 2019)

यह मािणत कया जाता है ननलिखत सूचना जम के मूल अभलेख से ल गई है जो क तहसील लेह िजला लेह (लाख) राय/संघ देश लाख, भारत के
रिजटर म उिलिखत है ।
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR MUNICIPAL COMMITTEE LEH OF TAHSIL/BLOCK LEH OF DISTRICT LEH (LADAKH) OF STATE/UNION TERRITORY LADAKH, INDIA.

नाम / NAME: KANEEZ FATIMA लंग / SEX: महला / FEMALE

जम तथ / DATE OF BIRTH:

जम थान/ PLACE OF BIRTH:
27-07-2023
SNM HOSPITAL LEH
TWENTY-SEVENTH-JULY-TWO THOUSAND TWENTY THREE

माता का नाम / NAME OF MOTHER: पता का नाम / NAME OF FATHER:

NAZIA BANO SAJAD ALI

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX2502
XXXXXXXX0872

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME OF माता-पता के थायी पता/ PERMANENT ADDRESS OF
BIRTH OF THE CHILD: PARENTS:

LEH LADAKH, , LEH, LEH (LADAKH), LADAKH PACHATHANG NUBRA,

LEH LADAKH, LEH, LEH (LADAKH),
LADAKH

पंजीकरण संया / REGISTRATION NUMBER: पंजीकरण तारख / DATE OF REGISTRATION:

B-2023: 38-00032-002601 31-07-2023

टपणी / REMARKS (IF ANY):

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जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
14-08-2023
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)

MUNICIPAL COMMITTEE LEH

UPDATED ON :
14-08-2023 08:32:51

"THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF THE ISSUING AUTHORITY"
" THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-JULY-2015 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES".

" येक जम एवं मृयु का पंजीकरण सुनचत कर" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "