FLKHGOB
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) Jamui Municipal Corporation
of Tahsil/Block Jamui Sadar of District Jamui of State Bihar.
Name: VAIBHAV
Gender: male
Date of Birth: 03-APRIL-2024
Place of Birth: JAMUI KARRA LAKHSMIPUR
Name of Father: OMPRAKASH KUMAR
Name of Mother: SUDHA KUMARI
Permanent Address : VILLAGE-DADPUR,POST-KESHOPUR,THANA-JHAJHA,DIST-JAMUI,BIHAR
Address of Parents at the time of Birth of Child : VILLAGE DADPUR, POST-KESHOPUR ,THANA-JHAJHA ,DIST-JAMUI BIHAR
Registration Number: 38957/5/8168/2026
Date of Registration: 15-MARCH-2024
Date of Issue: 15-MARCH-2024
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"