FIQ8F2M
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) Bhojpur Municipal Corporation
of Tahsil/Block Bhojpur Sadar of District Bhojpur of State Bihar.
of Birth which is the register for (Local Body) Bhojpur Municipal Corporation
of Tahsil/Block Bhojpur Sadar of District Bhojpur of State Bihar.
| Name | : SHIVANI KUMARI |
| Gender | : female |
| Date of Birth | : 05-AUGUST-2010 |
| Place of Birth | : PIRO GRAMIN |
| Name of Father | : MRITUNJAY RAY |
| Name of Mother | : SONI DEVI |
| Permanent Address | : NAWADIH NAWA DIH BHOJPUR BIHAR 802207 |
| Address of Parents at the time of Birth of Child | : NAWADIH NAWA DIH BHOJPUR BIHAR 802207 |
| Registration Number | : 69833/9/4329/2026 |
| Date of Registration | : 02-MAY-2025 |
| Date of Issue | : 02-MAY-2025 |
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"
