F0XTWJ3
FORM NUMBER - 5
[SEE RULE - 8]
[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)
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) Purnia Municipal Corporation
of Tahsil/Block Purnia Sadar of District Purnia of State Bihar.
of Birth which is the register for (Local Body) Purnia Municipal Corporation
of Tahsil/Block Purnia Sadar of District Purnia of State Bihar.
| Name | : SAKIMA KHATOON |
| Gender | : female |
| Date of Birth | : 01-JANUARY-1965 |
| Place of Birth | : NAGAR NIGAM, PURNIA |
| Name of Father | : KALIM |
| Name of Mother | : JANHARA |
| Permanent Address | : SOTI BHAG, KHAPRA,PURNIA,BIHAR- 854315 |
| Address of Parents at the time of Birth of Child | : SOTI BHAG, KHAPRA,PURNIA,BIHAR- 854315 |
| Registration Number | : 72639/5/9949/2026 |
| Date of Registration | : 10-NOVEMBER-2025 |
| Date of Issue | : 13-FEBRUARY-2026 |
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"
