West Bengal Birth Certificate Form - Summary
West Bengal birth certificate form is the application form used to register a newborn and obtain a birth certificate from the municipality, municipal corporation, or gram panchayat in West Bengal. Under the Registration of Births and Deaths (Amendment) Act, 2023, the digital birth certificate issued through the Janma-Mrityu Tathya portal serves as single document proof of date and place of birth for school admission, voter card registration, driving licence, passport issuance, and government jobs.
This PDF includes the 1-page official birth registration form in English and Bengali, containing sections for the child’s birth information, parents’ names, residential address, and institutional delivery verification.
Documents to attach with West Bengal Birth Certificate Format
Attach self-attested photocopies of the following records with the filled form:
- Discharge certificate or birth slip issued by the hospital, nursing home, or primary health centre
- Aadhaar cards or EPIC voter ID cards of both father and mother
- Residential address proof in West Bengal such as electricity bill, digital ration card, or property tax receipt
- Declaration signed by parents or gram panchayat pradhan verification for domestic births
How to Fill and Submit the Form
STEP 1 – Write the newborn’s date of birth, gender, and full name in capital letters.
STEP 2 – Record the father’s and mother’s names, Aadhaar numbers, and permanent address.
STEP 3 – Mention the place of birth along with hospital name or residential address.
STEP 4 – Submit the form within 21 days at the municipal office counter or gram panchayat office without any fee. You can also apply online through the Janma-Mrityu Tathya portal at janmamrityutathya.wb.gov.in.
STEP 5 – For registrations between 21 and 30 days after birth, pay the prescribed late fee. Registrations after 30 days up to 1 year require permission from the Sub-Divisional Magistrate.