BIRTH CERTIFICATE

(issued under Section 12/17)

               This is  to  certify  that  the following information has been taken from the original  record of birth which is the register for (Local Area)--------------------------------------------------- of Tahsil ----------------------------------------------- of District --------------------------------------------- of  State ----------------------------

Name ---------------------------------------- 

Sex -------------------------------------------  

Date of Birth ----------------------------------  

Place of Birth ----------------------------------  

Name of Father --------------------------------------------------------------

Name of Mother -------------------------------------------------------------  

Registration No. --------------------------------------------------------------  

Date of Registration ----------------------------------------------------------

                                                                                    Signature of Issuing Authority

Date ………………………….                                                   Seal

D/P&S – No. 811/28-4-2000 – Medical – 60