Form No. 9A--- 14793.

UNION TERRITORY OF DELHI

(See rule 14 )

SPECIAL CERTIFICATE OF BIRTH (DETAILED)

Issued under section 17 of the Registraion of Birth & Death Act, 1969.
This is to certify that the following detailed information has been taken from the original
record of birth which is in the register for.(Local area )
Registration No.

4981

1. Date of Birth: 22.9.89.

2. Sex (Male/Female:

Male

3. Name of Child: Karan Kalra

Date of Registration:

26/09/89.

8. Age of Mother:

26 years.

(in completed years at confinement)

9. Order of Birth:

2.

4. Place of Birth(Full Address:

Delhi/
i. No. of live births:
-.
Hospital.
5. Permanent full residential Address: 893, ii No. of still births:
Mukherjee Nagar Delhi.
iii No. of children living at present
including this child:_____2_____
6. Fathers
i. Name:
Vinod Kalra
wife/Doctor/Hospital/others:_
ii. Literacy: B..Com
iii.Occupation Shop keeper..
iv. Nationality: Indian
v. Religion:
Hindu

10. Type of attention at delivery:

i. Nurse/Mid-

7. Mothers:
i. Name:
Madhu Kalra.
ii. Literacy:
12th .
iii.Occupation: House wife.
iv: Nationality: Indian.
v.
Religion: Hindu

12. Informants:
i. Name:
ii. Relationship with the Child:
iii. Full Address:

ii Name & Full address:

iii.Trained/Untrained:
11. Other description:

Signature of the issuing authority.

( Seal)
Date:

AF F I D AV I T
I, ______l Wife of Mr__________________resident of __________________, New
Delhi110027 ( India). Do hereby affirm that my daughter in law Ms Rashmi Srivastava
D/o is going to study in Newzealand Career College Newzealand for a 40 weeks study
programme ..
I having Rs.__________ in my two saving bank accoun/Provident Funds ______bank . I
am ready to give my money for the education of Ms Rashmi Srivastava her . Passport
No._________..

Deponent.
Verification:
Verified at New Delhi on this 18th Feb,2008 that the contents of this affidavit are true
and correct to the best of my knowledge and belief.

Deponent.

Government of
National Capital Territory of Delhi
INDIA.

Municipal Corporation of Delhi

B0443093
AA000000001
FORM NO.5
BIRTH CERTIFICATE

(Issued under section 17 of the Registration of Birth and Deaths Act,1969)

This is to certify that the following information has been taken from the original record
of Birth which is register for (Local Area) Rohini ( U ) Zonal Office of Rohini Zone.
Municipal Corporation of Delhi of District North West of NCT of Delhi.
Name:

TAPAN MUDGAL

Gender:

Male.

Date of Birth:

25/12/1986.

Place of Birth:

1088/71, Deva Ram Parktri Nagar Delhi-35.

Date of Registration:

10/06/2006.

Registration No.

MCDOLR06121492.

Name of Mother:

Anita Mudgal.

Name of Father:

Satya Prakash Mudgal.

Date: 10/06/2006.

Sd/Sub-Registrar/Registrar of Birth & Death.

AF FI D AV I T
I, Anurodh Kumar Agarwall, resident of V-1, Rajouri Garden, New Delhi-110027,
hereby solemnly affirm and declare as under:

do

That Mr.Rohit Thukral my cousin brother ,holding Passport No.H-6133060. , is going

to study In Orchard School of Arts & Commerce in Singapore ..
That I the above named deponent do hereby declare that I am having an Fixed deposit in
Saving Bank accounts with Terms deposit for Rs.4.5 lakhs . I will spend the money for
the education of Rohit Thukral.
That it is my true statement , and I shall remain responsible for any false statement.
DEPONENT.
I, above named deponent do hereby solemnly affirm and declare that all the contents in
this affidavit are true and correct to the best of my knowledge and belief, and nothing has
been concealed there from.
Verified at New Delhi India
Date:27th Oct,2009

DEPONENT.

Hindi Bhasharatna
No. 107802

Seal of the College

Serial No. 70

MUMBAI HINDI VIDHAPEETH

Shri Rohit Thukral has got the Hindi Bhasha Ratna examination certificate from
Bhadurgarh Centre & he is passed in the following subjects:
Subjects:
Hindi Sahitya.
State Language
English
History of India.

Date: 15th Aug,2003

Sd/-

Sd/-

Vice Principal

Principal.

AF FI D AV I T
I, Ranbir Singh Tanwar, S/o Shri Ram Chander R/o House No. 597. Block J, Jhangirpuri
Delhi-110033. do hereby solemnly affirm and declare as under:
That Mr. Mohit Tanwar my son holding Indian passport No.F-4426306. , is going to
study in MBBS course at Lugansk State Medical University , Ukraine for 6 years
programme.
That I the above named deponent do hereby declare that I am having a Saving Bank in
State Bank of India having balance of Rs.2,75,825/- & in Provident Fund Rs. 8,33,117/This total come to Rs.11,08,942, Out of this I will spend the money for the education of
my son Mohit Tanwar.. The funds shown will be spent for his education in Ukraine.
I further declare that I have full financial support during his stay in Ukraine including his
Tuition fees, Travelling expenses , Living expenses and all other expenses, which will be
required to him during his stay at above place, for completing his entire course within
stipulated period.
That it is my true statement , and I shall remain responsible for any false statement.
DEPONENT.
I, above named deponent do hereby solemnly affirm and declare that all the contents in
this affidavit are true and correct to the best of my knowledge and belief, and nothing has
been concealed there from.
Verified at New Delhi India
Date: 7th Sept,2007

DEPONENT.