crsorgi.gov.in
Open in
urlscan Pro
103.151.152.76
Public Scan
URL:
https://crsorgi.gov.in/web/index.php/auth/birthCertificate/view/cert/B/NTUwOTM0Ng
Submission: On February 09 via manual from IN — Scanned from DE
Submission: On February 09 via manual from IN — Scanned from DE
Form analysis 3 forms found in the DOM
POST
<form method="post" action="" onsubmit="return false;"></form>POST
<form method="post" action="" onsubmit="return false"></form>Name: frmBirthCertificate —
<form action="" name="frmBirthCertificate" id="frmBirthCertificate" class="print">
<table border="0" cellpadding="0" cellspacing="0" width="96%">
<tbody>
<tr>
<td class="form-title" align="center" height="32"> </td>
</tr>
<tr>
<td class="form-content-bg" align="center">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody>
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<td> </td>
</tr>
<tr>
<td align="center" valign="top">
<table id="printCertificationForm">
<tbody>
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<td>
<table class="certificate-border-normal" border="0" cellpadding="0" cellspacing="0" width="800">
<tbody>
<tr>
<td colspan="3" height="3"></td>
</tr>
<tr>
<td> </td>
<td>
<table class="certificate-border-bold" border="0" cellpadding="0" cellspacing="0" width="831">
<tbody>
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<td valign="top" width="588">
<table class="certificate-border-bold" border="0" cellpadding="0" cellspacing="0" width="831" style="text-transform:uppercase">
<tbody>
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<td align="center" valign="top" width="10"> </td>
<td align="center" valign="top" width="20"> </td>
<td align="center" valign="top" width="76"> </td>
<td align="center" valign="top" width="20"> </td>
<td align="center" valign="top" width="10"> </td>
</tr>
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<td align="center" valign="top"> </td>
<td align="center" valign="top">
<img width="58" height="70" src="/web/images/emb-forms.gif">
</td>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
</tr>
<tr>
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<td rowspan="9" align="center" valign="top">
<table>
<tbody>
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<td class="text-line-height normal-text" valign="Bottom">
<span lang="hi"> क्रमांक</span> 1 <br>
</td>
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<tr>
<td class="text-line-height normal-text" valign="Bottom"> No. 1</td>
</tr>
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<td> </td>
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<div style="border: 1px solid black; margin-top: -14px;">
<img width="73" height="63" margin-top="5px" src="/web/images/200eb74be4214552a68f47a5a25aff5e7e5192bd.png">
</div>
</td>
</tr>
</tbody>
</table>
</td>
<td align="center" valign="top"> </td>
<td class="text-line-height normal-text" rowspan="9" align="center" valign=" middle">
<span lang="hi"> फॉर्म-5</span><br> Form-5<br>
<img src="/web/uploads/writeReadData/reg_unit_19_04_16_07_22_25_regNo_90328_name.jpg" id="stamp" style="width: 73px; height: 63px; margin-top: 5px;">
</td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td class="text-line-height normal-text" align="center" valign="top">
<span lang="hi"> महाराष्ट्र शासन </span>
<br>
</td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="lable-text"> GOVERNMENT OF MAHARASHTRA </td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="lable-text">
<span lang="hi"> आरोग्य विभाग </span> <br> DEPARTMENT OF HEALTH
</td>
<td align="center" valign="top" class="lable-text"></td>
</tr>
<tr>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
</tr>
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<td align="center" valign="top"></td>
<td align="center" valign="top"></td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (start)-->
<td align="center" valign="top" class="text-line-height lable-text">
<span lang="hi"> महानगर पालिका पिंपरी चिंचवड वार्ड ३९ </span><br> MUNICIPAL CORPORATION PIMPRI CHINCHWAD WARD 39
</td>
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (end)-->
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="normal-text"></td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
<!--<td width="170" align="center" id="stampTD12" style="border:0px solid #FFFFFF;" >
<img src="/web/uploads" id="stamp"
style="width: 73px; height: 63px;" align="center" alt=" " ></td>-->
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="certificate-title">
<span lang="hi"> जन्म प्रमाणपत्र</span> <br> BIRTH CERTIFICATE
</td>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="lable-text"> </td>
<td align="center" valign="top"> </td>
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</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="lable-text"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td colspan="3" align="justify" valign="top" class=" text-line-height normal-text">
<span lang="hi"> जन्म व मृत्यु नोंदणी अधिनियम, 1969 च्या कलम 12/17 आणि महाराष्ट्र जन्म आणि मृत्यु नोंदणी नियम , 2000 चे नियम 8/13 अन्वये देण्यात आले आहे. </span>
<!--Only Roman Language--> (Issued under Section 12/17 of the Registration of Births & Deaths Act, 1969 and Rule 8/13 of the MAHARASHTRA Registration of Births & Deaths Rules 2000.)
</td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="lable-text"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="lable-text"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td colspan="3" align="justify" valign="top" class="text-line-height normal-text">
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (start)-->
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (end)-->
<span lang="hi"> प्रमाणित करण्यात येत आहे की, खालील माहिती जन्माच्या मूळ अभिलेखाच्या नोंदवहीतून घेण्यात आली आहे , जी की महानगर पालिका पिंपरी चिंचवड वार्ड ३९ , तालुका हवेली , जिल्हा पुणे , महाराष्ट्र
राज्या, भारत च्या नोंदवहीत उल्लेख आहे. </span>
<br>
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (start)--> This is to certify that the following information has been taken from the original record of
birth which is the register for MUNICIPAL CORPORATION PIMPRI CHINCHWAD WARD 39 of tahsil/block HAVELI of District PUNE of State/Union territory MAHARASHTRA, INDIA.
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (end)-->
</td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="lable-text"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
</tr>
<tr>
<td align="center" valign="top"> </td>
<td align="center" valign="top"> </td>
<td align="center" valign="top" class="lable-text"> </td>
<td align="center" valign="top"> </td>
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</tr>
<tr>
<td align="center" valign="top"> </td>
<td colspan="3" align="center" valign="top">
<table width="100%">
<tbody>
<tr>
<td width="40%" align="left" class="text-line-height normal-text">
<span lang="hi"> नाव </span>/ Name: <span lang="hi">MUHAMMAD ALI SHAFIQ TANWIR / मुहम्मद अली शफ़िक़ तनवीर </span>
</td>
<td width="20%"></td>
<td width="40%" class="text-line-height normal-text" style="text-align: left">
<span lang="hi"> लिंग </span>/ Sex: <span lang="ma">पुरुष<span> / MALE </span></span>
</td>
</tr>
<!-- --------------------------------------------------------------------------------- -->
<!-- Start of Block to Print Child UID in Certificate - 26-Dec-2014
<!-- --------------------------------------------------------------------------------- -->
<tr>
<td align="left" class="text-line-height normal-text" valign="top" style="padding-top: 20px">
<span lang="hi"> जन्म तारीख </span>/ Date of Birth: <br>09-01-2016 <br>NINTH-JANUARY-TWO THOUSAND SIXTEEN
</td>
<td></td>
<td class="text-line-height normal-text" style="padding-top: 20px; text-align: left">
<span lang="hi"> जन्म ठिकाण</span>/ Place of birth: <br>
<span lang="hi"> Y C M H PIMPRI/वाय सी एम एच पिंपरी </span>
<!--IF ADDRESS OUT OF INDIA-->
<span lang="hi">
</span>
</td>
</tr>
<tr>
<td align="left" class="text-line-height normal-text" style="padding-top: 20px" valign="top">
<span lang="hi"> आईचे पूर्ण नाव / </span> Name of Mother: <br>
<span lang="hi">RUKHSANA SHAFIQ TANWIR / रुक्साना शफ़िक़ तनवीर </span> <!-- --------------------------------------------------------------------------------- -->
<!-- Start of Block to Print Mother's UID in Certificate - 26-Dec-2014
<!-- --------------------------------------------------------------------------------- -->
<!-- --------------------------------------------------------------------------------- -->
<!-- End of Block to Print Mother's UID in Certificate - 26-Dec-2014
<!-- --------------------------------------------------------------------------------- -->
<!-- --------------------------------------------------------------------------------- -->
<!-- Start of Block to Print Mother's Nationality in Certificate - 27052015
<!-- --------------------------------------------------------------------------------- -->
<!-- --------------------------------------------------------------------------------- -->
<!-- End of Block to Print Mother's Nationality in Certificate - 27052015
<!-- --------------------------------------------------------------------------------- -->
</td>
<td></td>
<td align="left" class="text-line-height normal-text" style="padding-top: 20px; text-align: left" valign="top">
<span lang="hi"> वडिलांचे पूर्ण नाव </span>/ Name of Father : <br>
<span lang="hi">SHAFIQ YOUNUS TANWIR / शफ़िक़ युनुस तनवीर </span> <!-- --------------------------------------------------------------------------------- -->
<!-- Start of Block to Print Father's UID in Certificate - 26-Dec-2014
<!-- --------------------------------------------------------------------------------- -->
<!-- --------------------------------------------------------------------------------- -->
<!-- End of Block to Print Father's UID in Certificate - 26-Dec-2014
<!-- --------------------------------------------------------------------------------- -->
<!-- --------------------------------------------------------------------------------- -->
<!-- Start of Block to Print Father's Nationality in Certificate - 27052015
<!-- --------------------------------------------------------------------------------- -->
<!-- --------------------------------------------------------------------------------- -->
<!-- End of Block to Print Father's Nationality in Certificate - 2705205
<!-- --------------------------------------------------------------------------------- -->
</td>
</tr>
<tr>
<td align="left" class="text-line-height normal-text" style="padding-top: 10px" valign="top">
<span lang="hi"> बाळाच्या जन्माच्यावेळी आई-वडिलांचा पत्ता </span> / Address of parents at the time of birth of the child: <br>
<!--Outside India Address-->
<!--inside India Address-->
<span lang="hi"> VISHNU LANDE CHAWL,NEAR PCMC SCHOOL, <br> KASARWADI , PIMPRI CHINCHWAD, , HAVELI, PUNE, <br>MAHARASHTRA <br> विष्णू लांडे चाळ,PCMC शाळा जवळ, <br>कासारवाडी , पिंपरी चिंचवड,
हवेली, पुणे, <br>महाराष्ट्र </span>
<!-- This is the block to the get Specifice Langguage. Written by Pawan Kumar -->
<br>
<!-- This is the block to the get Specifice Langguage. Written by Pawan Kumar -->
<br> <br>
</td>
<td></td>
<td class="text-line-height normal-text" style="padding-top: 10px; " valign="top">
<span lang="hi"> आई-वडिलांचा कायमचा पत्ता</span>/ Permanent address of parents: <br>
<!--Outside Inida Address-->
<!--Inside India Address-->
<br>
<span lang="hi"> VISHNU LANDE CHAWL,NEAR PCMC SCHOOL, KASARWADI, PIMPRI CHINCHWAD, HAVELI, PUNE, <br> MAHARASHTRA <br> विष्णू लांडे चाळ,PCMC शाळा जवळ, <br> कासारवाडी, पिंपरी चिंचवड, हवेली,
पुणे, <br> महाराष्ट्र </span>
<br>
<!--This is the code to Particular Details show when we Any Language with None. Written ON 11-Feb-15 -->
<!--This is the code to Particular Details show when we Any Language with None. Written ON 11-Feb-15 -->
</td>
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<td align="left" class="text-line-height normal-text" style="padding-top: 10px" valign="top">
<span lang="hi"> नोंदणी क्रमांक </span> / Registration Number: <br> B-2016: 27-90328-000652
</td>
<td></td>
<td class="text-line-height normal-text" style="padding-top: 10px; text-align: left" valign="top">
<span lang="hi"> नोंदणी दिनांक </span>/ Date of Registration: <br> 10-05-2016
</td>
</tr>
<tr>
<td align="left" class="text-line-height normal-text" style="padding-top: 20px">
<span lang="hi"> शेरा </span>/ Remarks (if any): <br>क्र.वैद्य/7/कावि/744/2011 अन्वये आईच्यानावातील स्पेलिंगमध्ये नॉर्मल दुरुस्ती द्वारे दुरुस्ती कऱणेत येत आहे.
</td>
<td></td>
<!--<td class="text-line-height normal-text" style="padding-top: 20px; text-align: left;">
<span lang="hi">प्राधिकारी के हस्ताक्षर</span> / Signature of the issuing authority
</td>-->
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<td></td>
<td></td>
<td align="center">
<table>
<tbody>
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<td style="width:100%"></td>
<td style="width:100%" align="left">
<span><img src="/web/uploads/2020/Jan-2020/5a2f263340042a5f25644873ee6dd3e9.jpg" style="margin-left: -61px;"></span>
<br>
</td>
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</td>
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<span lang="hi"> प्रमाणपत्र दिल्याचा दिनांक </span> / Date of issue: <br> 09-02-2024
</td>
<td></td>
<td class="text-line-height normal-text" style="padding-top: 20px; text-align: left;">
<span lang="hi"> निर्गमित करणारे प्राधिकारी / </span> Issuing Authority : <br>
<div style="float: left;">
<div style="color:#60F; font-weight: bold; text-align:center;">
<span lang="hi">उप-रजिस्ट्रार (जन्म व मृत्यु)<br></span> Sub-Registrar (Birth & Death) <!--Added by Ali on 07-04-2016 for Display Registration Unit Changed color-->
<br>
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (start)--> महानगर पालिका पिंपरी चिंचवड वार्ड ३९ <br> MUNICIPAL CORPORATION PIMPRI CHINCHWAD
WARD 39 <!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (end)-->
</div>
</div>
</td>
</tr>
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (start)-->
<tr>
<td class="text-line-height normal-text" style="padding-top: 20px; text-align: left;"> Updated on : <br> 10-03-2021 10:15:42 </td>
</tr>
<!--// Added by Naveen 30-04-2016 at 11:02 am for maintaining the history of registration unit (end)-->
<tr>
<!--// Added by Anupam 02-05-2016 at 5:30 PM for Qrcode integration (end)-->
<td align="left" valign="top">
<img src="/web/uploads/qrCode_Birth/27/09-02-2024/005_file_b15f688087cccfdb2c9782da351abecf.png" style="width: 80px; height: 80px;">
</td>
<!--// Added by Anupam 02-05-2016 at 5:30 PM for Qrcode integration (end)-->
<td></td>
<!-- End 12-04-2016--2 Anupam -->
</tr>
</tbody>
</table>
</td>
<td align="center" valign="top"> </td>
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<td align="left" valign="top"> </td>
<td colspan="3" align="center" valign="top" class="text-line-height welcome-clock" style="padding-top: 20px">
</td>
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</tr>
<tr>
<td align="center" valign="top"> </td>
<td colspan="3" align="center" valign="top" class="text-line-height normal-text">
<br>"This is a computer generated certificate which contains facsimile signature of the Issuing Authority" <br>" The Govt. of India vide circular No. 1/12/2014-VS(CRS) dated 27-July-2015 has <br>
approved this certificate as a valid legal document for all official purposes". <br>
<span lang="hi">" प्रत्येक जन्म आणि मृत्यूची घटना नोंदल्याची खात्री करा " / </span> "Ensure registration of every birth and death"
</td>
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<td align="center" valign="top"><img alt="" src="../../../../../../../lib/barcode.php?text='B-2016: 27-90328-000652'"></td>
<td align="center" valign="top"> </td>
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<td> </td>
</tr>
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<td align="center">
<table width="32%" border="0" cellspacing="0" cellpadding="0">
<tbody>
<tr>
<!-- <td class="btn">
<a class="btn" width="400" target="_blank" href="/web/index.php/qrcode/changeQr/Id//page/auth-certificate">Generate QR</a>
</td>
<td> </td>-->
<td class="btn">
<a class="btn" target="_blank" href="/web/index.php/auth/birthCertificatePdf/B/RVZuWmpUcjA5M3FWR0txbWNBU094dz09/type/print">Print</a>
</td>
<td> </td>
<td class="btn">
<input class="btn" value="Home" type="button" onclick="document.location.href='/web/index.php/';">
</td>
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</tbody>
</table>
</td>
</tr>
<!--ip base-->
<!--ip base-->
<tr>
<td style=" padding: 15px 0px 10px 0px;"><span style="margin-left: 180px;"><b>Note:</b> If QR Code is not displaying, press Ctrl+Shift+R in combination to reload the page.</span></td>
</tr>
</tbody>
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<!-- </td>
</tr>-->
</td>
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<td> </td>
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Birth Reporting X From To Death Reporting X From To * Home * Birth * Death * Still Birth * Reports * Logout Friday, February 09, 2024 17:13:48 IST WELCOME : () You are here: Home » Birth » Birth Search » Birth Cert. क्रमांक 1 No. 1 फॉर्म-5 Form-5 महाराष्ट्र शासन GOVERNMENT OF MAHARASHTRA आरोग्य विभाग DEPARTMENT OF HEALTH महानगर पालिका पिंपरी चिंचवड वार्ड ३९ MUNICIPAL CORPORATION PIMPRI CHINCHWAD WARD 39 जन्म प्रमाणपत्र BIRTH CERTIFICATE जन्म व मृत्यु नोंदणी अधिनियम, 1969 च्या कलम 12/17 आणि महाराष्ट्र जन्म आणि मृत्यु नोंदणी नियम , 2000 चे नियम 8/13 अन्वये देण्यात आले आहे. (Issued under Section 12/17 of the Registration of Births & Deaths Act, 1969 and Rule 8/13 of the MAHARASHTRA Registration of Births & Deaths Rules 2000.) प्रमाणित करण्यात येत आहे की, खालील माहिती जन्माच्या मूळ अभिलेखाच्या नोंदवहीतून घेण्यात आली आहे , जी की महानगर पालिका पिंपरी चिंचवड वार्ड ३९ , तालुका हवेली , जिल्हा पुणे , महाराष्ट्र राज्या, भारत च्या नोंदवहीत उल्लेख आहे. This is to certify that the following information has been taken from the original record of birth which is the register for MUNICIPAL CORPORATION PIMPRI CHINCHWAD WARD 39 of tahsil/block HAVELI of District PUNE of State/Union territory MAHARASHTRA, INDIA. नाव / Name: MUHAMMAD ALI SHAFIQ TANWIR / मुहम्मद अली शफ़िक़ तनवीर लिंग / Sex: पुरुष / MALE जन्म तारीख / Date of Birth: 09-01-2016 NINTH-JANUARY-TWO THOUSAND SIXTEEN जन्म ठिकाण/ Place of birth: Y C M H PIMPRI/वाय सी एम एच पिंपरी आईचे पूर्ण नाव / Name of Mother: RUKHSANA SHAFIQ TANWIR / रुक्साना शफ़िक़ तनवीर वडिलांचे पूर्ण नाव / Name of Father : SHAFIQ YOUNUS TANWIR / शफ़िक़ युनुस तनवीर बाळाच्या जन्माच्यावेळी आई-वडिलांचा पत्ता / Address of parents at the time of birth of the child: VISHNU LANDE CHAWL,NEAR PCMC SCHOOL, KASARWADI , PIMPRI CHINCHWAD, , HAVELI, PUNE, MAHARASHTRA विष्णू लांडे चाळ,PCMC शाळा जवळ, कासारवाडी , पिंपरी चिंचवड, हवेली, पुणे, महाराष्ट्र आई-वडिलांचा कायमचा पत्ता/ Permanent address of parents: VISHNU LANDE CHAWL,NEAR PCMC SCHOOL, KASARWADI, PIMPRI CHINCHWAD, HAVELI, PUNE, MAHARASHTRA विष्णू लांडे चाळ,PCMC शाळा जवळ, कासारवाडी, पिंपरी चिंचवड, हवेली, पुणे, महाराष्ट्र नोंदणी क्रमांक / Registration Number: B-2016: 27-90328-000652 नोंदणी दिनांक / Date of Registration: 10-05-2016 शेरा / Remarks (if any): क्र.वैद्य/7/कावि/744/2011 अन्वये आईच्यानावातील स्पेलिंगमध्ये नॉर्मल दुरुस्ती द्वारे दुरुस्ती कऱणेत येत आहे. प्रमाणपत्र दिल्याचा दिनांक / Date of issue: 09-02-2024 निर्गमित करणारे प्राधिकारी / Issuing Authority : उप-रजिस्ट्रार (जन्म व मृत्यु) Sub-Registrar (Birth & Death) महानगर पालिका पिंपरी चिंचवड वार्ड ३९ MUNICIPAL CORPORATION PIMPRI CHINCHWAD WARD 39 Updated on : 10-03-2021 10:15:42 "This is a computer generated certificate which contains facsimile signature of the Issuing Authority" " The Govt. of India vide circular No. 1/12/2014-VS(CRS) dated 27-July-2015 has approved this certificate as a valid legal document for all official purposes". " प्रत्येक जन्म आणि मृत्यूची घटना नोंदल्याची खात्री करा " / "Ensure registration of every birth and death" Print Note: If QR Code is not displaying, press Ctrl+Shift+R in combination to reload the page.