FFY4ELJ
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) Patna Municipal Corporation
of Tahsil/Block Patna Sadar of District Patna of State Bihar.
Name: Reeta Kumari
Gender: female
Date of Birth: 15-JANUARY-1992
Place of Birth: MACHHARIAWAN HOSPITAL,PATNA
Name of Father: RANJEET KUMAR
Name of Mother: ANITA DEVI
Permanent Address : 50,BONKIPUR,BANKIPUR,MACHHARIYAVA,PATNA,BIHAR-803201
Address of Parents at the time of Birth of Child : 50,BONKIPUR,BANKIPUR,MACHHARIYAVA,PATNA,BIHAR-803201
Registration Number: 53368/2/6361/2026
Date of Registration: 20-AUGUST-2018
Date of Issue: 25-AUGUST-2019
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"