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