FS0HI7L
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) Saharsa Municipal Corporation
of Tahsil/Block Saharsa Sadar of District Saharsa of State Bihar.
Name: BIJENDRA KUMAR
Gender: male
Date of Birth: 09-AUGUST-2005
Place of Birth: SADAR HOSPITAL, SAHARSA, SAHARSA, BIHAR
Name of Father: PRAKASH SUTIHAR
Name of Mother: MANJU DEVI
Permanent Address : WARD NO-13, ARAN, BISHANPUR, SATTAR KATAIYA, SAHARSA, BIHAR- 852124
Address of Parents at the time of Birth of Child : WARD NO-13, ARAN, BISHANPUR, SATTAR KATAIYA, SAHARSA, BIHAR- 852124
Registration Number: 47351/3/6272/2026
Date of Registration: 25-MARCH-2026
Date of Issue: 31-MARCH-2026
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"