This is to certify that the following information has been taken from the original record of death, which is the register forof Tahasilof Districtof State of Jharkhand.Application Form for Birth CertificateName of FatherGOVERNMENT OF JHARKHANDName of MotherPermanent Address of the Mother of the Father SexReligionOccupation of Father Occupation of Mother Date of Birth(local areas)Name of Newborn Child, if available YesNoPublished on National Portal of India (india.gov.in)Place of BirthGovernment OrganizationNon-Government OrganizationHomePersonal******************************************************************************* MaleFemale PLANNING & DEVELOPMENT DEPARTMENTEarning of the Family in a year /-Rs. Signature of Issuing AuthoritySealDateDate of RegistrationRegistration No.OFFICIAL USESex of ChildDate of Birth of ChildAddress of the Child's FatherDescription of Fees, if any.MaleFemale Published on National Portal of India (india.gov.in)
