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This document reports the birth of a female child named Soumya Singh born on March 9, 2024 in Deoghar, Jharkhand, India. It provides details like the parents' names and addresses, religion, occupations, delivery information, and statistical data.

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28 views

MPDF

This document reports the birth of a female child named Soumya Singh born on March 9, 2024 in Deoghar, Jharkhand, India. It provides details like the parents' names and addresses, religion, occupations, delivery information, and statistical data.

Uploaded by

7979913902a
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
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Ref. No.

: BA2024209000700383GP-001
Form No. 1 BIRTH REPORT BIRTH REPORT Form No.1
Legal information Statistical information (See Rule 5)
1. Date of Birth: 09-03-2024 10. Town or Village of Residence 16. Age of the mother (in completed
of the mother: years) at the time of first
marriage:0
2. Sex: Female
3. Name of the child, if any: a) Name of 17. Age of the mother (in completed
Town/Village:Deoghar years) at the time of this birth: 0
SOUMYA SINGH
4. Name of the b) Is it a town or 18. Number of children born alive to
father:RAJ KUMAR village:Village the mother so far including this
child: 1
UID No of Father (if any): c) Name of District: Deoghar 19. Type of attention at delivery:
Relatives or others
8506 8438 9635 d) Name of State: Jharkhand
5. Name of the 11. Religion of the Family:Hindu 20. Method of Delivery: Normal
mother:KAVITA KUMARI
UID No of Mother (if any): Any other religion: 21. Birth Weight (in kgs.): 2.500
12. Father’s level of education:
6. Address of parents at the time Secondary/ Matric Class -X 22. Duration of pregnancy (in weeks):
of Birth of the Child:
Station Road Near Petrol 13. Mother’s level of education:
Pump Deoghar Deoghar
Deoghar, Deoghar, Deoghar,
Jharkhand, 814112
7. Permanent address of parents: Secondary/ Matric Class -X
Station Road Near Petrol 14. Father’s occupation:
Pump Deoghar Deoghar
Deoghar, Deoghar, Deoghar,
Jharkhand, 814112
8. Place of birth: Service worker and shops &
market sale workers
Station Road Near Petrol 15. Mother’s occupation:
Pump Deoghar Deoghar
Deoghar, Deoghar,
Deoghar, Jharkhand
814112
9. Informant’s name: RAJ Housewife/Househusband
KUMAR

Signature or left thumb


mark of the informant
Date: 29-03-2024
TO BE FILLED BY THE REGISTRAR
Registration No.: District: Deoghar Registration No:
Registration Date: Sub-District: Deoghar Registration Date:
Registration Unit: Town/Village: Deoghar Date of Birth: 09-03-2024
MUNICIPAL CORPORATION
DEOGHAR
Town/Village: Deoghar Registration Unit: Sex: Female
MUNICIPAL CORPORATION
DEOGHAR
District: Deoghar Place of Birth: House
Remarks (if any):
Name and Signature of the Name and Signature of the Registrar
Registrar
NOTE: - Please forward print out of this reporting form duly signed along with supporting documents to
the REGISTRAR (BIRTH & DEATH), MUNICIPAL CORPORATION DEOGHAR, VILLAGE/TOWN:
DEOGHAR, SUB-DISTRICT: DEOGHAR, DISTRICT: DEOGHAR, STATE: JHARKHAND

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