c Civil Registration System

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सं. 1
No. 1
 
  प्रपत्र-5
Form-5
  
  बिहार सरकार
 
  GOVERNMENT OF BIHAR  
  योजना और विकास विभाग
DEPARTMENT OF PLANNING AND DEVELOPMENT
  ग्राम पंचायत रसूलपुर
GRAMA PANCHAYAT RASUL PUR 		 
   
       
    जन्म प्रमाण-पत्र
BIRTH CERTIFICATE 		   
         
         
  (जन्म मृत्यु रजिस्ट्रीकरण अधिनियम, 1969 की धारा 12 / 17 तथा बिहार जन्म मृत्यु रजिस्ट्रीकरण नियम, 1999 के नियम 8/13 के अंतर्गत जारी किया गया )
 (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE BIHAR REGISTRATION OF BIRTHS & DEATHS RULES 1999.) 		 
         
         
  THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR GRAMA PANCHAYAT RASUL PUR OF TAHSIL/BLOCK EKMA OF DISTRICT SARAN OF STATE/UNION TERRITORY BIHAR, INDIA.
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR GRAMA PANCHAYAT RASUL PUR OF TAHSIL/BLOCK EKMA OF DISTRICT SARAN OF STATE/UNION TERRITORY BIHAR, INDIA. 		 
         
         
 
नाम / Name: MD ARSAD लिंग / Sex: MALE
जन्म तिथि / Date of Birth:
01-01-2005
ONE JANURAURY TWO THOUSAND FIVE 		जन्म स्थान / Place of birth:
SIRSI PURNIA SIRSI BIHAR 855107
माता का नाम / Name of Mother:
ARSADI 		पिता का नाम / Name of father:
NAJIBUR HUSSAIN
आधार संख्या / MOTHER'S AADHAR:
  		आधार संख्या / FATHER'S AADHAR
 
बच्चे के जन्म के समय माता-पिता का पता / Address of parents at the time of birth of the child:
SIRSI PURNIA SIRSI BIHAR 855107
माता-पिता के स्थायी पता / Permanent address of parents:
SIRSI PURNIA SIRSI BIHAR 855107
पंजीकरण संख्या / Registration Number:
B-2024: 09-90347-005244 		पंजीकरण तारीख  / Date of Registration:
05-08-2014
टिप्पणी / Remarks (if any):
---

जारी करने की तिथि / Date of issue:
09-07-24 12:51:19 		जारी करने वाला प्राधिकारी / Issuing Authority :
रजिस्ट्रार (जन्‍म एवं मृत्‍यु)
 REGISTRAR (BIRTH & DEATH)
ग्राम पंचायत रसूलपुर
GRAMA PANCHAYAT RASUL PUR
Updated on :
09-07-24 12:51:19
 
   
 
"This is a computer generated certificate which contains facsimile signature of the Issuing Authority"
" The Govt. of India vide circular No. 1/12/2014-VS(CRS) dated 27-July-2015 has
approved this certificate as a valid legal document for all official purposes".
" प्रत्‍येक जन्‍म एवं मृत्‍यु का पंजीकरण सुनिश्‍चित करें" / "Ensure registration of every birth and death" 		 
         
       
         
 
 
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