FHEBF58
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: Asneha Kumari
Gender: female
Date of Birth: 20-APRIL-2007
Place of Birth: Sonpur
Name of Father: Naresh Shaw
Name of Mother: Manju Devi
Permanent Address : Baijalpur Naya Tola Sonepur Saran Bihar-841101
Address of Parents at the time of Birth of Child : Baijalpur Naya Tola Sonepur Saran Bihar-841101
Registration Number: 66105/3/4850/2026
Date of Registration: 01-MAY-2007
Date of Issue: 02-MAY-2007
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"