FCLB08V
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) Lakhisarai Municipal Corporation
of Tahsil/Block Lakhisarai Sadar of District Lakhisarai of State Bihar.
Name: DINESH PANDIT
Gender: male
Date of Birth: 01-JANUARY-1965
Place of Birth: SHEKHPURWA
Name of Father: CHHOTAN PANDIT
Name of Mother: DULO DEVI
Permanent Address : VILL SHEKHPURWA PO PARSAWAN PS RAMGARH CHOWK DIST LAKHISARAI BIHAR-811311
Address of Parents at the time of Birth of Child : VILL SHEKHPURWA PO PARSAWAN PS RAMGARH CHOWK DIST LAKHISARAI BIHAR-811311
Registration Number: 16979/5/8785/2026
Date of Registration: 02-MAY-2026
Date of Issue: 03-AUGUST-2026
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"