FVJ8M03
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) Katihar Municipal Corporation
of Tahsil/Block Katihar Sadar of District Katihar of State Bihar.
Name: Safikul Alam
Gender: male
Date of Birth: 12-APRIL-2001
Place of Birth: Chamapara
Name of Father: Jamal
Name of Mother: Nurbanu
Permanent Address : At-Chamapara Post Sukhasan Ps Barari Katihar
Address of Parents at the time of Birth of Child : At-Chamapara Post Sukhasan Ps Barari Katihar
Registration Number: 87288/8/6233/2026
Date of Registration: 09-APRIL-2012
Date of Issue: 07-JANUARY-2026
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"