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Coimbatore City Municipal Corporation - Citizen Charter

C.F No.17

Cost of Form Rs.2/-


Affix Re 1/- Court Fee Stamp

Coimbatore Coporation

Application for issue of Birth Certificate





The Commissioner,
Coimbatore Corporation.


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





Signature of the Applicant

NOTE : Register the name of the child and get the Birth Certificate, with the name of the child.

* Cost of Form    : Rs.2/-
* Cost of Service: Rs.10/-