सं.

1 बहार सरकार प-5

NO. 1 GOVERNMENT OF BIHAR FORM-5
योजना और वकास वभाग
DEPARTMENT OF PLANNING AND DEVELOPMENT

नगर परषद जेहानाबाद

NAGAR PRISHAD JEHANABAD

जम माण-प
BIRTH CERTIFICATE

(जम मृयु रिजकरण अधनयम, 1969 क धारा 12 / 17 तथा बहार जम मृयु रिजकरण नयम, 1999 के नयम 8/13 के अंतगत जार कया गया
)
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE BIHAR REGISTRATION OF
BIRTHS & DEATHS RULES 1999)

यह मािणत कया जाता है ननलिखत सुचना जम के मूल अभलेख से ल गई है जो क नगर परषद जेहानाबाद तहसील जेहानाबाद िजला जहानाबाद
राय/संघ देश बहार, भारत के रिजटर म उिलिखत है ।
THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER
FOR NAGAR PRISHAD JEHANABAD OF TAHSIL/BLOCK JEHANABAD OF DISTRICT JEHANABAD OF STATE/UNION TERRITORY BIHAR, INDIA.

नाम / NAME: ANANYA RAJ लंग / SEX: महला / FEMALE

जम तथ / DATE OF BIRTH: जम थान/ PLACE OF BIRTH:

25-10-2018 HANUMAN NAGAR, RAJA BAZAR ,
TWENTY-FIFTH-OCTOBER-TWO THOUSAND EIGHTEEN JEHANABAD (NAGAR PARISHAD),JEHANABAD, JEHANABAD ,
BIHAR

माता का नाम / NAME OF MOTHER: पता का नाम / NAME OF FATHER:

UMA KUMARI RAKESH KUMAR

आधार नंबर / MOTHER'S AADHAAR NO: आधार नंबर / FATHER'S AADHAAR NO:
XXXXXXXX7909

बचे के जम के समय माता-पता का पता / ADDRESS OF PARENTS AT THE TIME माता-पता के थायी पता/ PERMANENT ADDRESS OF PARENTS:
OF BIRTH OF THE CHILD:
HANUMAN NAGAR, RAJA BAZAR , HANUMAN NAGAR, RAJA BAZAR,
JEHANABAD (NAGAR PARISHAD), , JEHANABAD, JEHANABAD , BIHAR JEHANABAD (NAGAR PARISHAD), JEHANABAD, JEHANABAD ,
BIHAR

पंजीकरण संया / REGISTRATION NUMBER: पंजीकरण तारख / DATE OF REGISTRATION:

B-2019: 10-90137-001658 05-07-2019

टपणी / REMARKS (IF ANY):

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जार करने क तथ / DATE OF ISSUE: जार करने वाला ाधकार / ISSUING AUTHORITY :
29-11-2019
रिजार (जम एवं मृयु)
REGISTRAR (BIRTH & DEATH)
नगर परषद जेहानाबाद
NAGAR PRISHAD JEHANABAD

UPDATED ON :
29-11-2019 15:37:30

"THIS IS A COMPUTER GENERATED CERTIFICATE. "

" THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-JULY-2015 HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES".

" येक जम एवं मृयु का पंजीकरण सुनचत कर" / ENSURE REGISTRATION OF EVERY BIRTH AND DEATH "