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BIRTH CERTIFICATE APPLICATION

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TO
THE SUB REGISTRAR BIRTH & DEATH
CIVIL LINE ZONE DLEHI
SUB: NAME ADDITION IN MY CHILD-BIRTH CERTIFICATE, REG. NO.
NAME OF CHILD - IVAN JHA
GENDER – MALE
DATE OF BIRTH – 11/09/2015
PLACE OF BIRTH – DR. RAM MANOHAR LOHIA HOSPITAL, CANNAUGH PLACE, NEW DELHI
REGISTRATION NUMBER – 5578
REGISTRATION DATE – 16/10/2015
NAME OF FATHER – PARDEEP JHA
NAME OF MOTHER – NISHA JHA
WE DO HEREBY SOLEMELY DECLATE THAT WE WILL NEVER CHAGE OUR CHILD’S NAME IN FUTURE
THANKING YOU
PARDEEP JHA
DATE – 10/12/2019
PLACE – NEW DELHI
ENCLOSED –
1. COPY OF BIRTH CERTIFICATE
NISHA JHA
TO
THE SUB REGISTRAR BIRTH & DEATH
CIVIL LINE ZONE DLEHI
SUB: NAME ADDITION IN MY CHILD-BIRTH CERTIFICATE, REG. NO.
NAME OF CHILD - VIVAN JHA
GENDER – MALE
DATE OF BIRTH – 11/09/2015
PLACE OF BIRTH – DR. RAM MANOHAR LOHIA HOSPITAL, CANNAUGH PLACE, NEW DELHI
REGISTRATION NUMBER – 5579
REGISTRATION DATE – 16/10/2015
NAME OF FATHER – PARDEEP JHA
NAME OF MOTHER – NISHA JHA
WE DO HEREBY SOLEMELY DECLATE THAT WE WILL NEVER CHAGE OUR CHILD’S NAME IN FUTURE
THANKING YOU
PARDEEP JHA
DATE – 10/12/2019
PLACE – NEW DELHI
ENCLOSED –
1. COPY OF BIRTH CERTIFICATE
NISHA JHA
TO
THE SUB REGISTRAR BIRTH & DEATH
CIVIL LINE ZONE DLEHI
SUB: NAME ADDITION IN MY CHILD-BIRTH CERTIFICATE, REG. NO.
NAME OF CHILD - IVAN JHA
GENDER – MALE
DATE OF BIRTH – 11/09/2015
PLACE OF BIRTH – DR. RAM MANOHAR LOHIA HOSPITAL, CANNAUGH PLACE, NEW DELHI
REGISTRATION NUMBER – 5578
REGISTRATION DATE – 16/10/2015
NAME OF FATHER – PARDEEP JHA
NAME OF MOTHER – NISHA JHA
I DO HEREBY SOLEMELY DECLATE THAT I WILL NEVER CHAGE OUR CHILD’S NAME IN FUTURE.
THANKING YOU
NISHA JHA
DATE – 10/12/2019
PLACE – NEW DELHI
ENCLOSED –
1. COPY OF BIRTH CERTIFICATE
TO
THE SUB REGISTRAR BIRTH & DEATH
CIVIL LINE ZONE DLEHI
SUB: NAME ADDITION IN MY CHILD-BIRTH CERTIFICATE, REG. NO.
NAME OF CHILD - VIVAN JHA
GENDER – MALE
DATE OF BIRTH – 11/09/2015
PLACE OF BIRTH – DR. RAM MANOHAR LOHIA HOSPITAL, CANNAUGH PLACE, NEW DELHI
REGISTRATION NUMBER – 5579
REGISTRATION DATE – 16/10/2015
NAME OF FATHER – PARDEEP JHA
NAME OF MOTHER – NISHA JHA
I DO HEREBY SOLEMELY DECLATE THAT I WILL NEVER CHAGE OUR CHILD’S NAME IN FUTURE.
THANKING YOU
NISHA JHA
DATE – 10/12/2019
PLACE – NEW DELHI
ENCLOSED –
1. COPY OF BIRTH CERTIFICATE
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