Document Sr.

No :ES18784485

Office of District Registrar

Mansa

Office Order

No. : 57122124

/Registration Date : 01/12/2007

/Date of Birth :

Home , KARAMGARH AUTANWALI

/Child Name :

Father

This office order permits the correction in

above birth / death registration record as per below mentioned particulars. This permission has been granted as per provisions
under Section 15 of The Registration of Births and Deaths Act, 1969 and Rule 11 (1)(4) of The Punjab Registration of Births
and Deaths Rules, 2004. A note about correction is to be given in the separate column and no overwriting / cutting should be
done in the original registration record.

(From) (To)
Grand Father's Name : NILL GURDEV SINGH

Digitally Signed By: Ranjit Singh Rai

Designation: District Registrar(CMO)
Date : 31/01/2024
Location : Civil Surgeon Office, Mansa

A digitally Signed copy is forwarded to concerned Local Registrar / Additional District Registrar (Rural) / Sub Registrar / District Registrar
and sewa Kendra in their online login via application No. 57122124

The authenticity of this document can be verified using document serial number at the web link 'https://esewa.punjab.gov.in/certificateVerification'
or by scanning QR code. Any discrepancy in details on this document as compared to those available on the verification web link renders this
document invalid.
This is a digitally signed certificate and doesn't require physical signature, or hologram, or stamp as per Punjab Government Notification no.
E122499/GRMC/172 Dated: 31-08-2022, available at 'https://punjab.gov.in'
The responsibility of verification of this document before accepting the same for any legal purposes would rest with the Institution / Organization /
Company or any other Entity where this document is produced.
This certificate is valid as per Information Technology Act 2000 as amended from time to time.
In case of any discrepancy, please inform the issuing authority about the discrepancy in the certificate.
.
********** Print Date 31/01/2024