Form 5    తెలంగాణ ప్రభుత్వము     GOVERNMENT OF TELANGANA     వైద్య ఆరోగ్య శాఖ     HEALTH, MEDICAL & FAMILY WELFARE DEPARTMENT జనన ధృవ పత్రము BIRTH CERTIFICATE (Issued under Section 12/17 of the Registration of Births and Deaths of the Registration of Births and Deaths Rules 1999) This is to certify that the following information has been taken from the original record of birth, which is the register for of DISTRICT HOSPITAL KARIMNAGAR Telangana State, India Name :    CHANDINI Sex : FEMALE Date of Birth : 17/06/2006 Place of Birth : DISTRICT HOSPITAL,KARIMNAGAR Name of Mother :  MAHADEVI Name of the Father :  SOMANATH Address of the parents at the time of Birth of Child : Permanent Address of parents : KOHINOOR,KOHINOOR,BIDAR,KARNATKA.585419 KOHINOOR,KOHINOOR,BIDAR,KARNATKA.585419 Registration No : B-2025: 9-90347-00953 Date of Registration : 05-08-2022 Date of Issue : 31-12-25 12:53:37 Remarks : Registrar of Births & Deaths DISTRICT HOSPITAL KARIMNAGAR Designation : MUNICIPAL COMMISSIONER Note: The information is as provided by Hospital authorities and does not require physical signature.And this certificate can verified at http://ubd.telangana.gov.in by furnishing the application number mentioned in the Certificate.