database Not Connected c Civil Registration System

Birth Reporting X

From

To

Death Reporting X

From

To

 
 
 
 
 
         
       
 
सं. 1
No. 1
 
  प्रपत्र-5
Form-5
  
 
 
   
 
 
 
   
       
   
BIRTH CERTIFICATE 		   
         
         
 
 
         
         
 
 
         
         
 
/ Name: / Sex:
/ Date of Birth:

/ Place of birth:
/ Name of Mother:
/ Name of Father :
/ MOTHER'S AADHAR:
  		/ FATHER'S AADHAR
 
/ Address of parents at the time of birth of the child:

/ Permanent address of parents:

/ Registration Number:
 / Date of Registration:
/ Remarks (if any):
---

/ Date of issue:
/ Issuing Authority :



Updated on :
 
   
 
"This is a computer generated certificate which contains facsimile signature of the Issuing Authority"
" 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".
" " / "Ensure registration of every birth and death" 		 
         
       
         
 
 
Print  
Note: If QR Code is not displaying, press Ctrl+Shift+R in combination to reload the page.