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No. 1 चंडीगढ सरकार FORM-5
GOVERNMENT OF CHANDIGARH
�ा� सेवाएं िवभाग
DEPARTMENT OF HEALTH SERVICES
पो� �ेजुएट इं ���ूट ऑफ़ मेिडकल एजुकेशन एं ड �रसच�,
से�र 12, चंडीगढ़
PGI, SECTOR 12, CHANDIGARH
ज� �माण-प�
BIRTH CERTIFICATE
(ज� मृ�ु रिज�� ीकरण अिधिनयम, 1969 की धारा 12 / 17 तथा चंडीगढ ज� मृ�ु रिज�� ीकरण िनयम, 2000 के िनयम 8/13 के अंतग�त जारी िकया गया )
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE CHANDIGARH REGISTRATION OF
BIRTHS & DEATHS RULES 2000.)
यह �मािणत िकया जाता है िन�िल�खत सूचना ज� के मूल अिभलेख से ली गई है जो िक पो� �ेजुएट इं ���ूट ऑफ़ मेिडकल एजुकेशन एं ड �रसच�, से�र 12, चंडीगढ़ तहसील चंडीगढ िजला
चंडीगढ रा�/संघ �दे श चंडीगढ,भारत के रिज�र म� उ���खत है ।
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR
PGI, SECTOR 12, CHANDIGARH OF TAHSIL/BLOCK CHANDIGARH OF DISTRICT CHANDIGARH OF STATE/UNION TERRITORY CHANDIGARH, INDIA.
ब�े के ज� के समय माता-िपता का पता / ADDRESS OF PARENTS AT THE TIME OF माता-िपता के �ायी पता / PERMANENT ADDRESS OF PARENTS:
BIRTH OF THE CHILD : 636 CHANDIGARH CHANDIGARH CHANDIGARH 160002
636 CHANDIGARH CHANDIGARH CHANDIGARH 160002
UPDATED ON :
07-07-24 04:09:29
"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 सुिन��चत कर� " / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "