Form C.f No.17 - Application For Issue Of Birth Certificate
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1C.F No.17
Cost of Form Rs.2/-
No.
Affix Re 1/- Court Fee Stamp
Coimbatore Corporation
Application for issue of Birth Certificate
From
To
The Commissioner,
Coimbatore Corporation.
Sir,
Sub : Application for Birth Certificate.
I request you to issue ___________________________ copies of Birth Certificates to my male /
female child, as per the particulars furnished below:
1. Name of the Child
:
2. Date of Birth
:
3. Sex [Male / Female]
:
4. Name of the Father
:
5. Name of the Mother
:
:
6. Place of birth, Name of Hospital / House
(Full Address)
7. Residential Address at the time of birth
:
Date:
Place:
Signature of the Applicant
·
Cost of Form: Rs.2/-
·
Cost of Service: Rs.10/-
Note: Register the name of the child and get the Birth Certificate, with the name of the child.
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Parent category: Business