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Certified Copies of Birth/Death Certificates - Municipal Corporation ...

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FOR OFFICE USE<br />

1. Acknowledgement<br />

Receipt No.<br />

3. Date by which service to<br />

be provided<br />

5. Name <strong>of</strong> Designated<br />

Officer<br />

2. Date<br />

4. Fees/ Facilitation<br />

Charges, if any<br />

6. Designation<br />

Fee Rs.15/- (One copy, One Year)<br />

(Additional Search fee for One<br />

Year Rs.5/- & Fees for additional<br />

Copy <strong>of</strong> Certificate Rs.10/- per<br />

Copy)<br />

7. Location 8. Signature <strong>of</strong><br />

D.O./Receiving Officer<br />

……………………………………………………………………………………………………………………<br />

………….<br />

ACKNOWLEDGEMENT SLIP<br />

1. Acknowledgement<br />

Receipt No.<br />

3. Date by which service<br />

to be provided<br />

5. Service asked for Issuance <strong>of</strong> <strong>Birth</strong> Certificate<br />

6. Documents Attached Nil<br />

7.(a<br />

)<br />

Name <strong>of</strong> Designated<br />

Officer<br />

(c) Location (d<br />

)<br />

2<br />

.<br />

4<br />

.<br />

(b<br />

)<br />

Date<br />

Fees/ Facilitation<br />

Charges ( if any)<br />

Designation<br />

Signature <strong>of</strong><br />

Designated Officer<br />

It is your right to seek service within stipulated time limit.

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