GOVERNMENT OF MEGHALAYA

APPLICATION FORM FOR OBTAINING BIRTH CERTIFICATE

Enclosures Required [ These enclosures are required depending upon child was born at home/hospital and after how many days the application is submitted]

Born in Hospital
1. Declaration of Birth
2. Baby Record

Born in Hospital

1. Court Order on Birth [Required if intimated after 365 days]
2. All Documents submitted to Court [Required if intimated after 365 days]
3. Form I
4. Doctor's Certificate
5. Certificate from Headman/Dorbar Shnong/Nokma
6. EPIC/PAN/Aadhaar Card of Parents/Guardian
7. Affidavit

Applicant's Basic Details

Applicant's Name *

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Mobile Number *

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E-Mail

Application Specific Details

Name of Child *

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Gender *

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Male

Female

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Father's Name *

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Mother's Name *

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Date of Birth of Child *

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Application Submission Location *

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Place of Birth *

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Hospital Name *

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Days from the birth of child *

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Address of the Parents at the time of birth of Child

District *

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Complete Address *

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Permanent Address of Parents

State *

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District *

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Complete Address *

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Declaration

I declare that the statements made here is true to the best of my knowledge and belief and if anything is found untrue I shall be liable for a penalty as per law.

I Agree *