FV7MPTI
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) West Champaran Municipal Corporation
of Tahsil/Block West Champaran Sadar of District West Champaran of State Bihar.
of Birth which is the register for (Local Body) West Champaran Municipal Corporation
of Tahsil/Block West Champaran Sadar of District West Champaran of State Bihar.
| Name | : ADITYA KUMAR |
| Gender | : male |
| Date of Birth | : 22-DECEMBER-2018 |
| Place of Birth | : CHANPATIA, WEST CHAMPARAN, BIHAR |
| Name of Father | : UMESH SAH |
| Name of Mother | : SONI DEVI |
| Permanent Address | : WARD NO-11, CHANPATIA, WEST CHAMPARAN, BIHAR- 845449 |
| Address of Parents at the time of Birth of Child | : WARD NO-11, CHANPATIA, WEST CHAMPARAN, BIHAR- 845449 |
| Registration Number | : 30647/7/9409/2026 |
| Date of Registration | : 30-DECEMBER-2018 |
| Date of Issue | : 03-JANUARY-2019 |
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"
