FZL3WBS
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) Araria Municipal Corporation
of Tahsil/Block Araria Sadar of District Araria of State Bihar.
Name: JEEVAN HANSDA
Gender: male
Date of Birth: 15-AUGUST-2010
Place of Birth: TUNDI BIHAR
Name of Father: PREM HANSDA
Name of Mother: LUKHI MARANDI
Permanent Address : NARAYANPUR POST BALIADANGAL DIST PAKUR JHARKHAND PIN CODE 814111
Address of Parents at the time of Birth of Child : NARAYANPUR POST BALIADANGAL DIST PAKUR JHARKHAND PIN CODE 814111
Registration Number: 12831/8/6083/2026
Date of Registration: 18-AUGUST-2010
Date of Issue: 20-AUGUST-2010
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"