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Birth Certificate

This document is a birth certificate issued by the Government of Bihar for a child named Madhav Jayswal, born on September 17, 2022, at the Primary Health Centre in Kishanpur. It includes details such as the names of the parents, their Aadhaar numbers, and addresses. The certificate was registered on September 19, 2022, and issued on March 1, 2025.

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2K views1 page

Birth Certificate

This document is a birth certificate issued by the Government of Bihar for a child named Madhav Jayswal, born on September 17, 2022, at the Primary Health Centre in Kishanpur. It includes details such as the names of the parents, their Aadhaar numbers, and addresses. The certificate was registered on September 19, 2022, and issued on March 1, 2025.

Uploaded by

ambed17
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

aaarßéoù

S.No.1 J4a 5
FORM5

GOVERNMENT OF BIHAR

DEPARTMENT OF PLANNING AND


DEVELOPMENT
PRIMARY HEALTH CENTRE
KISHANPUR

BIRTH CERTIFICATE

(ISSUED UNDER SECTION


REGISTRATION OF BIRTHS 12/17 OF THE
& DEATHS REGISTRATION OF BIRTHS AND
RULES 1999) DEATHS ACT, 1969 AND RULE
8/13 OF THE BIHAR
THIS IS TO CERTIFY
WHICH US THAT THE
THE REGISTER FOR FOLLOWING INFORMATION
OF PRIMARY HEALTH HAS BEEN TAKEN
STATE/UNION TERRTORY OF BIHAR INDIA CENTRE KISHANPUR OF FROM THE
TAHSIL/BLOCK ORIGINAL RECORD OF BIRTH
KISHANPUR OF DISTRICT
4 / NAME:
MADHAV JAYSWAL/Ig GUHAA SUPAUL
an / SEX: MALE |
3TUR HEA|AADHAAR gOY
NUMBER:
JH fa | DATE OF
BIRTH:
17-09-2022
yH RIPIPLACE OF
SEVENTEENTH-SEPTEMBER-TIVO THOUSAND TWENTY TWO BIRTH:
PRIMARY HEALTH CENTRE
KISHANPUR, KISHUNPUR,
SUPAUL, BIHAR /foAR, fagR, KISHANPUR,
IAI AH /NAME OF
MOTHER:
qta, fcER
NIKKI JAISWALA HAIG
AHINAME OF
FATHER:
HiI 3nur R| AADHAAR AYSHANKAR KUAMR /AGY QR
NUMBER OF MOTHER:
Ai a Tur R|
H AADHAAR NUMBER OF FATHER:
BIRTHOF THE I-fMGT
CHILD: m/ADDRESS OF
PARENTS AT THE TIME OF
WARD NO 12,MALAR, Iai-fRn ur qI
faAAYR, Tte, AER, KISHANPUR, SUPAUL, BIHAR, / 4$ PERMANENT ADDRESS OF PARENTS:
92,4R, BABHNI, WARD N 11,
852131 | , WARD NGAMHARIA, GAMHARIA, MADHEPURA,BIHAR,
11, TPgRAI,8R,
qtryiN / REGISTRATION HÈTRI, fAER, 852131
B-2022: 10-08445-002141
NUMBER:
Ru RS |DATE OF
19-09-2022
REGISTRATION:
feot (ufe o
)/REMARKS (IF ANY:

ô fa /DATE OF ISSUE:
01-03-2025

Updated On : 01-03-2025
12:34:27

anfaari ’ KFISR I SIGNATURE


OF ISSUING
AUTHORITY :
"This 0R code can be
used to check the Registrar (BIRTH &DEATH)
certificale' authenticity of the
PRIMARY HE ALTH CENTRE
"R KISHANPUR
AQ { bU a
IENSURE REGISTRATION OF
EVERY BIRTH AND DEATH"

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