F8BSR0Z
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) Gopalganj Municipal Corporation
of Tahsil/Block Gopalganj Sadar of District Gopalganj of State Bihar.
of Birth which is the register for (Local Body) Gopalganj Municipal Corporation
of Tahsil/Block Gopalganj Sadar of District Gopalganj of State Bihar.
| Name | : Sajida Khatun |
| Gender | : female |
| Date of Birth | : 01-JANUARY-2004 |
| Place of Birth | : GOPALGANJ |
| Name of Father | : JABBAR HUSAIN |
| Name of Mother | : MUMTARA KHATUN |
| Permanent Address | : VILL-BALIPUR PO-BATHUA BAZAR ANCHAL-FULWARIYA DISTT-GOPALGANJ 841425 |
| Address of Parents at the time of Birth of Child | : VILL-BALIPUR PO-BATHUA BAZAR ANCHAL-FULWARIYA DISTT-GOPALGANJ 841425 |
| Registration Number | : 18814/4/1715/2026 |
| Date of Registration | : 05-MAY-2026 |
| Date of Issue | : 05-OCTOBER-0026 |
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"
