FUK3GLJ
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) Buxar Municipal Corporation
of Tahsil/Block Buxar Sadar of District Buxar of State Bihar.
Name: MD DANISH HUSAIN
Gender: male
Date of Birth: 20-FEBRUARY-2008
Place of Birth: KAZIPUR,DUMRI,SIMRI,BUXAR,BIHAR-802120
Name of Father: MD IZHAR ALAM
Name of Mother: RUKSANA KHATOON
Permanent Address : KAZIPUR,DUMRI,SIMRI,BUXAR,BIHAR-802120
Address of Parents at the time of Birth of Child : KAZIPUR,DUMRI,SIMRI,BUXAR,BIHAR-802120
Registration Number: 72674/7/2432/2026
Date of Registration: 02-FEBRUARY-2026
Date of Issue: 02-FEBRUARY-2026
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"