3PX-
Form-5
GOVERNMENT OF WEST BENGAL
DEPARTMENT OF HEALTH AND FAMILY WELFARE
KOLKATA MUNICIPAL CORPORATION
BIRTH CERTIFICATE
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT. 1969 AND RULE 8/13 OF THE WEST BENGAL
REGISTRATION OF BIRTHS & DEATHS RULES 2000.)
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS
THE REGISTER FOR KOLKATA MUNICIPAL CORPORATION OF BLOCK MUNICIPALITY BOROUGH 16 OF DISTRICT KOLKATA OF
STATE WEST BENGAL. INDIA.
NAME : ANUPAMNASKAR GENDER: MALE
DATE OF BIRTH : 19/07/2023 PLACE OF BIRTH: ESI HOSPITAL. JOKA. BOROUGH 16.
KOLKATA. WEST BENGAL
NAME OF MOTHER : ANUPAMA NASKAR NAME OF FATHER : SUBHOJIT NASKAR
MOTHER'S IDENTITY PROOF : AADHAAR FATHER'S IDENTITY PROOF: AADHAAR- XXXXXXXX6129
XXXXXXXX8521
PRESENT ADDRESS OF MOTHER LOCALITY: AMGACHIA,VILLAGE TOWN: RAJARAMPUR,BISHNUPUR - I BLOCK,DIST:- SOUTH 24
AT THE TIME BIRTH OF THE [Link] BENGAL-700104
CHILD :
PERMANENT ADDRESS OF LOCALITY:- AMGACHIA, VILLAGE/TOWN:- [Link] . I BLOCK,DIST:- SOUTH 24
MOTHER: [Link] BENGAL-700104
CERTIFICATE NO : B/2023/842703 DATE OF REGISTRATION: 03/08/2023
S-UHID: 33685262990641 REMARKS (IF ANY) :
DATE OF ISSUE : 03/08/2023 ISSUING AUTHORITY:
UPDATED ON : 2023-08-02 [Link]
Signature Not Verified
Digitally Signed.
Name: PIYALI MANDAL
Date: 03-Aug-2028 [Link]
SUB-REGISTRAR (BIRTH & DEATH)
KOLKATA MUNICIPAL CORPORATION
THIS IS A COMPUTER GENERATED CERTIFICATE."
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 F< )R ALL OFFICIAL PURPOSES
"ENSURE REGISTRATION OF EVERY BIRTH AND DEATH ‘