FC1LRX8
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) Kaimur Municipal Corporation
of Tahsil/Block Kaimur Sadar of District Kaimur of State Bihar.
Name: ANUP KUMAR
Gender: male
Date of Birth: 10-JUNE-2007
Place of Birth: SADAR HOSPITAL KAIMUR (BHABUA)
Name of Father: MANOJ RAM
Name of Mother: KISMATO KUNWAR
Permanent Address : VILL BAHERA PO NASEJ PS KUDRA DIST KAIMUR (BIHAR) 821108
Address of Parents at the time of Birth of Child : VILL BAHERA PO NASEJ PS KUDRA DIST KAIMUR (BIHAR) 821108
Registration Number: 30401/4/9666/2026
Date of Registration: 09-MARCH-2026
Date of Issue: 25-MARCH-2026
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"