FCZAO95
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) Gaya Municipal Corporation
of Tahsil/Block Gaya Sadar of District Gaya of State Bihar.
Name: PUNAM KUMARI
Gender: female
Date of Birth: 28-JULY-2020
Place of Birth: VILL-AGANDHA,PO-KACHNAWAN,PS-BELAGANJ,GAYA,PIN-804403
Name of Father: SUDIN MANJHI
Name of Mother: MAIATI DEVI
Permanent Address : VILL-AGANDHA,PO-KACHNAWAN,PS-BELAGANJ,GAYA,PIN-804403
Address of Parents at the time of Birth of Child : VILL-AGANDHA,PO-KACHNAWAN,PS-BELAGANJ,GAYA,PIN-804403
Registration Number: 37089/5/7502/2026
Date of Registration: 25-MAY-2023
Date of Issue: 25-MAY-2023
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"