Øe la[;k% 11372014005134 izi= la- -5

S.No: Form No. - 5

mRrj izns”k ljdkj

Government Of Uttar Pradesh
cjsyh uxj fuxe
Bareilly Municipal Corporation
¼tUe&e`R;q jftLVªhdj.k vf/kfu;e 1969 dh /kkjk 12@17 ,oa mRrj izns”k tUe e`R;q jftLVªhdj.k fu;ekoyh 2003
ds fu;e 8 ds v/khu tkjh½
(Issued under the Section 12/17 of the Registration of Births and Deaths Act 1969 and under rule 8 of Uttar Pradesh, Registration
of Births and Deaths Rules 2003)
¼tUe izek.k i=½
(Birth Certificate)
izekf.kr fd;k tkrk gS fd fuEufyf[kr lwpuk tUe ds ewy vfHkys[k ls yh x;h gS tks ¼LFkkuh; {ks=½
cjsyh uxj fuxe] jkT; mRrj izns”k ds jftLVj esa vafdr gSA
This is to certify that the following information has been taken from the original record of birth which is in the register for
Bareilly Municipal Corporation State U.P.

uke
Name ANKUR RASTOGI
fyax
Sex MALE
tUe dk fnukad ,oa LFkku 27/07/2014, ATUL LATIKA, BAREILLY
Date of Birth & Place
firk dk uke
Name of Father LALIT MOHAN RASTOGI
ekrk dk uke
Name of Mother STUTI RASTOGI
iathdj.k la[;k
Registration No 11372014005134
iathdj.k dk fnukad
Date of Registration 28/07/2014
tkjh fnukad
Issued Date 28/07/2014
LFkku@ftyk
Place/District BAREILLY
jftLVªkj tUe e`R;q
Registrar Birth & Death

Digitally Signed by

Sindhu Sansor Pal Singh

Signed on: 28/07/2014 Code: 48667546749936194924170

izR;sd tUe ,oa e`R;q dk iathdj.k lqfuf”pr djsa / Ensure registration of every birth and death
For Certificate Verification please visit http://www.e-nagarsewaup.gov.in/ulbapps