Meeseva CDMA Birth Corrections Application Form

Meeseva CDMA Birth Corrections Application Form

Download Meeseva CDMA Birth Corrections Application Form

CDMA Birth
Birth Details:-
District:
__________________________
Registration Number:
_______________
Location:
Greater Municipality

Municipality
Gender:
Male
Female
Corrections Required in Birth
Certificate
Whether
You Want to Update Child Name:
Changed Child Surname:
___________________
Whether You Want to Update Date of

Changed Date of Birth:
_________________________
Whether You Want to Update Gender:
Changed Gender:
Male
Female

Whether You Want to Update Father Name:
Changed Father Surname:
____________________ C
Whether You Want to Update Mother Name
Changed Mother Surname:
___________________ C
Whether You Want to Update Birth Place:
Changed Birth Place:
___________________________
Whet
her You Want to Update Address a
Changed Line 1 of Address at the
Time
Changed Line 2 of Address at the
Time
Changed Line 3 of Address at t
he Time
Whether You Want to Update
Permanent
Changed Line 1 of Permanent
Address: __________________________________________
______________
Changed Line 2 of Permanent
Address:
Changed Line 3 of Permanent
Address: __________________________________________
______________
Informant Details
:-

Informant Name:
___________________________________________________
__________________
Informant Relation:
S/o
D/o

w/o
Informant Address1
: _________________________________________________
_____________________
Informant Address2
: _________________________________________________
_____________________
Informant Address3:
___________________________________________________
___________________
Mobile Number:
____________________
Remarks:
___________________________________________________
____________
Pin code: ___________________
Delivery
Purpose of the Certificate
___________________________________________________
________________
No of copies: ________________
CDMA Birth
Corrections Application Form__________________________
Registration Unit Id:
_____________________________________
_______________
Registration Year: _____________ Birth Year:
_________________
Municipality
Municipal Corporation
Gram Panchayat
CertificateDetails:-
You Want to Update Child Name:

Yes
No
___________________
Changed Child Name:
_____________________________

Birth:
Yes
No
_________________________

Whether You Want to Update Gender:

Yes
No
Whether You Want to Update Father Name:

Yes
No____________________
Changed Father Name:
___________________________
Whether You Want to Update Mother Name:
Yes
No__________________
Changed Mother Name:
___________________________
Whether You Want to Update Birth Place:
Yes
No
___________________________

her You Want to Update Address a
t the Time of Birth:
Yes
No
Time of Birth: ____________________________________________
_____
he Time
of Birth: _________________________________________________
Permanent
Address:
Yes
No
Address: __________________________________________
______________
___________________________________________________
__________________
w/o
H/o
M/o
F/O
C/o: _________________________________________________
_____________________

Email ID:
______________________________________________
___________________________________________________
____________
________________
Delivery
Type:
Manual / In Person
Post – Local

Post
___________________________________________________
________________

Price: 1`_____________________________________
_________________

Birth: _________________________________________________
Address: __________________________________________
____________________________
Post - Nonlocal___________________________________________________________________