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Certificate
Birth Certificate
Birth Certificate
Name
of the new Born Child
:
Title
Sri
Smt
Father's Name :
Title
Sri
Lt
Mother's Name :
Title
Sri
Lt
Date of Birth :
Place :
Mobile:
Ward No :
Address:
District:
State:
Pincode:
Voter ID Card
of Father
:
Voter ID Card
of Mother
:
PAN Card
of Father
:
PAN Card
of Mother
:
Health & Family Welfare Department. Govt. of Assam
Polio Card:
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