FDNA8MX
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) Aurangabad Municipal Corporation
of Tahsil/Block Aurangabad Sadar of District Aurangabad of State Bihar.
Name: SHAIK MABUL SAHEB
Gender: male
Date of Birth: 18-JULY-1965
Place of Birth: KOGILI
Name of Father: KALESHA SAHEB SHAIK
Name of Mother: KALESHA SAHEB SHAIK
Permanent Address : KOGILI CHITTAMUR TIRUPATI ANDHRA PRADESH
Address of Parents at the time of Birth of Child : KOGILI CHITTAMUR TIRUPATI ANDHRA PRADESH
Registration Number: 71346/1/8638/2026
Date of Registration: 12-JANUARY-2020
Date of Issue: 25-FEBRUARY-2021
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"