FSFAQ75
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) Saran Municipal Corporation
of Tahsil/Block Saran Sadar of District Saran of State Bihar.
Name: Balmiki
Gender: male
Date of Birth: 02-JUNE-2008
Place of Birth: Sonpur, Saran Bihar
Name of Father: Satnarayan
Name of Mother: Santoshi
Permanent Address : Sonpur, Saran Bihar-841301
Address of Parents at the time of Birth of Child : Sonpur, Saran Bihar-841301
Registration Number: 47868/4/8992/2026
Date of Registration: 10-JULY-2008
Date of Issue: 12-JULY-2008
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"