INFOGRAM _4.0

Village Panchayat:

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Registration of Birth (Backlogs)

Registration Date

Registration No

Last Registration Date :

Last Registration No :

Child Details:

Name of Child

Address(During Child Birth)

Gender

Male

Female

Other

Address(Permanant)

Date Of Birth

Place of Birth

Father's Details:

Mother's Details:

Name

Name

Literate

Literate

Literate

Illiterate

Not Available

Literate

Illiterate

Not Available

Occupation

Occupation

Nationality

Nationality

Religion

Religion

Grand Parent's(Father Side):

Informant's Details:

Grand Father's Name

Name

Grand Mother's Name

Address

Type of Attention

Order of Birth

Age of Mother

Message:

Label

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