3ITTR GOvernment of India AADHAAR

Government of India

Unique ldentification Authority of India

TRTRB/ Enrolment No.: 2728/24185/02143 INFORMATION
To
Aadhaar is a proof of identity, not of citizenship.
Atharva Upadhyay Verify identity using Secure QR Code/ Offline XML/ Online
C/0: Jitendra Kumar Upadhyay
H No 1 Kamalpur Kahna,Chandauli
Authentication.
Kamalpur This is electronically generated letter.
Chandauli
Kamalapur
Chandauli Uttar Pradesh- 232106
9559188777

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T 3HTET, FT T61T

Government of india 3TI

Unique Identification Authority of tndia
Atharva Upadhyay
A/DOB: 30/12/2013 e ea-232106
MALE
SAddress:
C Oitendra Kumar Upadhyay, HNo 1
d p u r nna,nangauli, amaipur,
Ed r dNamaapur,
rduesn 32100
Cnandaull,

7365 8604 6697 7365 8604 6697

VID : 9112 9748 6347 8073 VID:9112 9748 6347 8073
T ATeTR, AHT TETTT 1947 help@uidai.gov.in www.uldi.gov.in
 GOVERNMENT OFINDI

Jitendra Kumar Upadhyay

faT DOB: 09/10/1980
33T/MALE

6310 4316 4282

 . 1
NO. 1
ME GOVERNMENT OF UTTAR PRADESH
7-5
TAR PR DEPARTMENT OF MEDICAL AND HEALTH FORM-5

NAGAR NIGAM LUCKNOW

T THTUT-Y7
BIRTH CERTIFICATE
(3T Te
TT) U3T9tRuH, 1969 6 eTRT 12 17 7T 3 AT T
(ISSUED UNDER 7TE t , 2002
REGISTRATION OF SECTION 12/17
BIRTHS & DEATHS RULES
OF THE
REGISTRATION OF BIRTHS& DEATHS ACT, 1969 AND
qH 8/13 sf art T
2002) RULE 8/13 OF THE
UTTAR PRADESH

THIS IS To
FOR NAGARCERTIFY THAT THE
NIGAM LUCKNOW FOLLOWING INFORMATION HAS BEEN
OF TAKEN
TAHSIL/BLOCK LUCKNOW OF DISTRICT FROM THE ORIGINAL RECORD OF
BIRTH WHICH IS THE
LUCKNOW OF STATE/UNION
TERRITORY REGISTER
UTTAR PRADESH, INDIA.

HTHNAME: ATHARVA UPADHYAY

fT/SEX: TaT /MALE
Htat / DATE OF BIRTH:
30-12-2013
GrH
THIRTIETH-DECEMBER-TWO THOUSAND THIRTEEN TH/ PLACE OF BIRTH:
SAHARA HOSPITAL
HTTT 71
THNAME OF MOTHER:
SARITA UPADHYAY t4dT TH / NAME OF FATHER:
JITENDRA KUMAR UPADHYAY
TT
TSTTMOTHER'S UID NO: f4aT 257 73TEST TT / FATHER'S UID NO:
e H HHU HIAT-TYdT
BIRTH OF THE CHILD: YTADDRESS OF PARENTS AT THE TIME OF HTHT-TT YTT TIT/ PERMANENT ADDRESS OF
FLAT NO. 107,G-1, PARENTS
VIKALP KHAND GOMTI NAGAR, LUCKNOW, FLAT NO. 107,G-1, ,
LUCKNOW, LUCKNOW, UTTAR
,
VIKALP KHAND GOMTI NAGAR, LUCKNOW, LUCKNOW,
PRADESH- 226010
LUCKNOW,
UTTAR PRADESH- 226010
Tte TET /REGISTRATION NUMBER: Toirr aTTE/DATE OF REGISTRATION:
B-2016: 9-90321-011822 05-05-2016
euyot/REMARKS (IF ANY):
222364/7

T 6t afaDATE OF ISSUE: IRT TT TêRT ISSUINGAUTHORITY:

01-08-2016

REGISTRAR (BIRTH & DEATH)

NAGAR NIGAM LUCKNOW

UPDATED ON :
01-08-2016 13:17:29

FACSIMILE SIGNATURE OF THE

ISSUING AUTHORITY
CERTIFICATE WHICH CONTAINS
THIS IS A COMPUTER GENERATED CIRCULAR NO. 1/12/2014-VS(CRS) DATED
27-JULY-2015 HAS
THE GOVT. OF INDIA VIDE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES".
APPROVED THIS CERTIFICATE THE WEBSITE CRSORGI.GOV.IN.
CERTIFICATE CAN BE VERIFIED FROM
THE AUTHENTICITY OF THIS TO EACH EVENT
REGISTRATION NUMBER IS UNIQUE
THE DEATII"
REGISTRATIONOF EVERY BIRTIH
AND
ENSURE
dr H Y aU gARTe