Form 5 Birth Certificate PDF Details

The Form No.5 Birth Certificate is a pivotal document issued as per the Registration of Births and Deaths Act, 1969 (Section 12/17) and the Rajasthan Registration of Births and Deaths Rules, 2000 (Rule 8/13). It authenticates the record of birth based on the original entry in the register for the relevant local area or body. This certificate comprehensively details critical information about the newborn, including the name, sex, date of birth, and place of birth, along with the names of the parents. The document also provides addresses for the parents both at the time of the child's birth and their permanent residence. Additionally, it features the registration number, date of registration, any remarks that may be necessary, the date of issue, and the signature along with the address of the issuing authority, complemented by the official seal. This certificate does not just serve as proof of identity and nationality; it is also essential for availing various services and rights, making it indispensable for legal, educational, and health-related purposes.

QuestionAnswer
Form NameForm 5 Birth Certificate
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesbirth certificate format pdf, form 5 birth certificate, birth certificate pdf download, date of birth form

Form Preview Example

IZ:I LA- 5

FORM NO. 5

TUE IZEK.K & I=K

BIRTH CERTIFICATE

¼ tUe vkSj e`R;q jftLVªhdj.k vf/kfu;e] 1969 dh /kkjk 12@17 vkSj

jktLFkku tUe vkSj e`R;q jftLVªhdj.k fu;e] 2000 ds fu;e 8@13 ds v/khu tkjh fd;k x;k ½

(Issued under Section 12/17 of the Registration of Births and Deaths Act,1969 and Rule 8/13 of the Rajasthan Registration of Births and Deaths Rules, 2000 )

;g izekf.kr fd;k tkrk gS fd fuEu fyf[kr lwpuk tUe ds ewy vfHkys[k ls yh xbZ gS tks fd ¼LFkkuh; {ks=k@LFkkuh; fudk;

½ ---------------------------------

------------------------ rglhy @[k.M

------------------------------------------------------------------------------ ftyk ------------------------------------------------------------------------------------------

jkT;-@la?k jkT;

{ks=k-------------------------------------------------------------

dk jftLVj gSA

 

This is to certify that the following information has been taken from the original record of birth which is the

register for (local area / local body)………………………….of tahsil / block .………………………. of

District………………………………of state / Union territory ……………………………

uke@Name: ……………………………………….............. fyax@ Sex.................................………………………..

tUe frfFk@Date of Birth ……………………...................… tUe LFkku @Place of Birth …......................……………

ekrk dk uke@Name of Mother………………………………................................................……………………….

firk dk uke @ Name of Father…………………………….....................................................……………………….

cPps ds tUe ds le; ekrk firk dk irk

ekrk&firk dk LFkk;h irk

Address of parents at the time of birth of the child:

Permanent address of parents:

……………………………....…………........……

................................………………………………..

………………………………………............……

………………................................………………..

………………………………………............……

……………................................…………………..

jftLVdj.k la-@Registration No:. ……………...........… jftLVªhdj.k dh rkjh[k@ Date of Registration

……............................

fVIi.kh@Remarks(if any)………......................................................................................................…………………

tkjh djus dh rkjh[k @ Date of issue:.....….................tkjhdjus okys izkf/kdkjh ds gLrk{kj@ Signature of the issuing authority

tkjhdjus okys izkf/kdkjh dk irk @ Address of the issuing authority

eqgj@Seal

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birth certificate form download pdf writing process described (portion 1)

2. When the first array of fields is done, go to type in the applicable details in all these - jftLVdjk laRegistration No, fVIikhRemarksif any, tkjh djus dh rkjhk Date of, tkjhdjus okys izkfkdkjh dk irk, and eqgjSeal.

Tips to fill out birth certificate form download pdf step 2

It is possible to make a mistake while completing your tkjhdjus okys izkfkdkjh dk irk, for that reason make sure to take a second look before you submit it.

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