FUNDAZ1
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) Siwan Municipal Corporation
of Tahsil/Block Siwan Sadar of District Siwan of State Bihar.
Name: ARYAN CHAUHAN
Gender: male
Date of Birth: 29-JULY-2020
Place of Birth: SIWAN
Name of Father: DILIP MAHATO
Name of Mother: NEHA KUMARI
Permanent Address : DABCHHU SIWAN DABCHHU BIHAR
Address of Parents at the time of Birth of Child : DABCHHU SIWAN DABCHHU BIHAR
Registration Number: 87368/3/1467/2026
Date of Registration: 01-JANUARY-2022
Date of Issue: 01-JANUARY-2022
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"