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 :    RUKMAN BAI MALI Sex : FEMALE Date of Birth : 01-01-1965 Place of Birth : VILLAG GILUND Name of Mother :  LAXMAN Name of the Father :  AEGI BAI Address of the parents at the time of Birth of Child : Permanent Address of parents : VILLAG GILUND POST GILUND CHITTORGARH 312612 RAJASTHAN VILLAG GILUND POST GILUND CHITTORGARH 312612 RAJASTHAN Registration No : B-2025: 9-90347-002872 Date of Registration : 05-08-2022 Date of Issue : 11-02-26 02:26:58 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.