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GOVERNMENT OF GUJA~AT
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DEPARTMENT OF HEALTH AND FAMILY WELFARE
BA 6231632
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BIRTH CERTIFICATE
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(Issued under Section 12/17 of the Registration of Births and Deaths Act, 1969 and Rule 8 of the Gujarat Registration of Births and Deaths Rules, 20 I8)
~,n V.lU~<1 8~C:Ulli wa ~ t .{l~.{l llt~rtl Vr{crll );tut ~8!llitll aa.Llli ~Le{\ U. ~ Qll~<1crtl ~V~lrt ~l~crtl <Hi~ lYC<-U crtl
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This is to certify that the following infonnation has been taken from the original record of birth which is In the register for Village/City
Jhadeshwar of Taluka Bharuch of District Bharuch of Gujarat State, India.
c,,uru oj crtlll/Child's Name : ~crtC{ / JINAL ,it{rt / Sex : ~:{l / Female
CiU<nB oj 'J~ crtlll : ~C-i. ~~~<1Qlltf J'il{k,t Child's Full Name :JINAL RANJITBHAI GOHIL
~~ <1L8'W./Date of Birth 25109/2012 Vr{ Nlut/Place of Birth
Tuesday. September 25, 2012 YOGESHWAR MATERNITY HOSPITAL
lllctl'1 crttll/Name of Mother : ltlctloj crtlll/Name of Father :
~~~rtl~ot ~~~ctooo' :iil(kt I SARASVATIBEN ~l;l...,ctOOo' ot~mt~l Jil~c-t / RANJITBHAI NAHARSANG GOHIL
RANJITBHAI GOHIL
CiUUl8crtl Vr-1. ~lla lil<1l-fil.<1L~ ~~otl~/ Address of lllrtl - !il.<1Loj 8LGL~ ~icrtl~ / Pennanent Address of
parents at the time of Birth of child Parents:
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TOWNSHIP GOTRI ROAD VADODARA
-il\:.t~ illi.8/Registration No.: 384 aill:.l~ .U rtl~\ll/Registration Date: 27/09/2012
~iu!~ (latillt -il\:.t)/Remarks (if any) : V.~~'4"- o1.C>tV Certific;ate No. : 8201220066550
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\J.J.U~\t"- fsl& W'll.ll-0. <1l~lll / Date of Issue: V.J.U~\t"- W\tcrtl~ ~h1lro,8l~.U ~6l/ Signature of Issuing
Authority:
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03/04/2025
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