FYM1VBG
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) Samastipur Municipal Corporation
of Tahsil/Block Samastipur Sadar of District Samastipur of State Bihar.
of Birth which is the register for (Local Body) Samastipur Municipal Corporation
of Tahsil/Block Samastipur Sadar of District Samastipur of State Bihar.
| Name | : GITA DEVI |
| Gender | : female |
| Date of Birth | : 01-JANUARY-1975 |
| Place of Birth | : BAZITPUR MEYARI,BAZIDPUR MEARI,SAMASTIPUR |
| Name of Father | : RAMNARESH RAY |
| Name of Mother | : GANIYA DEVI |
| Permanent Address | : BAZITPUR MEYARI,BAZIDPUR MEARI,BAJITPUR MEARI,SAMASTIPUR,SARAIRANJAN,BIHAR- 848114 |
| Address of Parents at the time of Birth of Child | : BAZITPUR MEYARI,BAZIDPUR MEARI,BAJITPUR MEARI,SAMASTIPUR,SARAIRANJAN,BIHAR- 848114 |
| Registration Number | : 25193/1/3997/2026 |
| Date of Registration | : 03-APRIL-2026 |
| Date of Issue | : 01-MARCH-2026 |
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"
