FK4T26L
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) Munger Municipal Corporation
of Tahsil/Block Munger Sadar of District Munger of State Bihar.
Name: SHIROMANI DEVI
Gender: female
Date of Birth: 05-MARCH-1961
Place of Birth: Munger Municipal Corporation
Name of Father: BAJO HAJAM
Name of Mother: SUDAMA DEVI
Permanent Address : Munger Municipal Corporation
Address of Parents at the time of Birth of Child : DHANPURA MADHODIH TARAPUR MUNGER BIHAR 813221
Registration Number: 13411/1/4959/2026
Date of Registration: 21-NOVEMBER-2025
Date of Issue: 03-DECEMBER-2025
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"