MUNICIPAL CORPORATION OF GREATER MUMBAI gesdaé werreaferet Date Aasress om to ‘TheExecutve Heath Offcer, ‘Tobe submited athe Ward Offa o the respective Medical Ofer of Heath Please furish me with CopyiCopios of Bith Registry Certificate, The Particulars are serie sormer=r ss ere rare aa. avs eM FulNames ofParents. ) Father i" agen a ona 2 Mother one Resigontial place of parensin ‘Mumba atthe tm of btn as furrsenedtorbirhregsration tthe bith took place in Hospital the name of the Hospital aera we ST ret serge a Dete of birth Sex ester aR Enclosed fee Rupees at a a aR | nave read and agree tothe conditions pontedon the reverse. avis ary ee hh ae SH aH [Name of the applicant in Block Letters arden apt ata ae eT) Signature. 70) (or a ae)Date 2. No. tie ae a Issuing 8. ©. No. ere en see see ar conpimions at ‘ToBE FILLED INBY THE OFFICE ade wong craters wereere Called on setae ie Feo Re aa ‘Search Peto re ne. gar fae 41. Cortitcates wi proparedas pe the orginal MunicpalRecorts. saerrrceen Mer BTU ea TAR 2. Fresh fees wile necessary fr modified copy after complying withthe procedure lad down inthis ben. are ween ee ech gare, quer teh areas afer ew eH TE a 3, Certificate wil delivered on production of receipt only sah we Sorter sas trae ke 4, Noclaimforretund, crite, or otherwise wilbe entertained 6 ments forthe date of payment a erg rare, ew, ieee a ea Per T= 5. Refundifany, ansible wil be paid ontyto the applicant on production of the recep ek nara rea, (ore seer me), Ges) STARR ach eee eee ea i.