FOR1UQ3
FORM NUMBER - 5
[SEE RULE - 8]

GOVERNMENT OF BIHAR

DEPARTMENT OF PLANNING AND DEVELOPMENT

DIRECTORATE OF ECONOMICS AND STATISTICS

BIRTH CERTIFICATE
(Issued under Section 12 of Registration of Births & Deaths Act, 1969 and Rule 8/13
of the Bihar Registration of Births and 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 (Local Body) Aurangabad Municipal Corporation
of Tahsil/Block Aurangabad Sadar of District Aurangabad of State Bihar.
Name: ANKUR
Gender: male
Date of Birth: 12-JULY-2007
Place of Birth: PLACE OF BIRTH
Name of Father: SHER SINGH
Name of Mother: PHOOL KATORI
Permanent Address : MUHAMMADPUR GAHARWAR BADHAWALI JALESAR ETAH UTTAR PRADESH-207302
Address of Parents at the time of Birth of Child : MUHAMMADPUR GAHARWAR BADHAWALI JALESAR ETAH UTTAR PRADESH-207302
Registration Number: 56869/9/8637/2026
Date of Registration: 15-OCTOBER-2025
Date of Issue: 19-NOVEMBER-2025
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"