This birth certificate certifies the birth of JASNOOR Kaur, a girl born on December 19, 2011 in Iqbal Nursing Home, Ludhiana to parents SUKHJINDER SINGH BADESHA and PRAVJOT KAUR BADESHA. The birth was registered on December 27, 2011 with registration number 3789. The parents' current address is listed as 93-I Bhai Randhir Singh Nagar, Ludhiana.

1. Z-C
Insigniaof PunjabGovernment EMBLEM
DPH-368 of IndianGovernment
Form-6 Hologram
GOVERNMENT OF PUNJAB
Health & Family Welfare Department
Chief Registrar, Births & Deaths, Punjab
113314
No.:187589
BIRTH CERTIFICATE
This is to certify that the following information has been taken from the
original Birth record which is registered in the Birth Register of Local Registrar,
Births & Deaths, Municipal Corporation/Council/Panchayat/ Police Station/
Block/Sub Centre ---, Block (P.H.C.) Ludhiana, Tehsil Ludhiana, District Ludhiana
of Punjab State for the year 2011:
Name: JASNOORKaur Sex: Girl
Father’s name: SUKHJINDERSINGH BADESHA
Grandfather’s name: HARDEV SINGH BADESHA
Mother’s name: PRAVJOTKAUR BADESHA
Date of Birth: 19-12-2011 Place of Birth: IqbalNursing Home, LDH.
Date of Registration: 27-12-2011 Registration no.: 3789
Address of parents at the time of
birth of the child: --- Permanent Address of parents:
93-IBhaiRandhir Singh, Nagar Ludhiana
Remarks (if any):
Date of issue:
Name & Designation of Officialwho
prepared certificate
Prepared by: sd/-
sd/-
Signature, Name & address of the issuing Authority
sd/-,rubber stamp
Sub.Registrar,
Births & Deaths,
Municipal Corporation, Ludhiana
Note: Issued u/s 12/17 of the Registration of Birth & Death Act, 1969 & Rules 8/13 of the Punjab
Registrationof Births&Death Rules, 2004
Ensure registration of every birth and death
Registered the Births/Deaths events within 21 days and get a free copy of certificate
TRUE TRANSLATION
Source Language: PUNJABI
Target Language: ENGLISH

2. Dated: 5.10.2015,Monday