F8DYZK5
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) Aurangabad Municipal Corporation
of Tahsil/Block Aurangabad Sadar of District Aurangabad of State Bihar.
of Birth which is the register for (Local Body) Aurangabad Municipal Corporation
of Tahsil/Block Aurangabad Sadar of District Aurangabad of State Bihar.
| Name | : SHUSHANT PIRAJI DHOTRE |
| Gender | : male |
| Date of Birth | : 15-JUNE-2015 |
| Place of Birth | : SADAR HOSPITAL AURANGABAD , BIHAR |
| Name of Father | : PIRAJI TUKARAM DHOTRE |
| Name of Mother | : BALIKA PIRAJI DHOTRE |
| Permanent Address | : SAMRUDHI , TAMBRI , BARSHI ROAD , OSMANABAD , MAHARASHTRA 413501 |
| Address of Parents at the time of Birth of Child | : SAMRUDHI , TAMBRI , BARSHI ROAD , OSMANABAD , MAHARASHTRA 413501 |
| Registration Number | : 72590/5/8947/2026 |
| Date of Registration | : 30-JUNE-2015 |
| Date of Issue | : 30-JUNE-2015 |
Signature of Issuing Authority
"Ensure Registration of Every Birth and Death"
