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NBOfzg00 = 52.27% t. witheur 1/6 — R252 B47 B2D 1G 49.57% 53.00 % 52.66% 55.33 % Isr 2ND 3RD Q fo) 0 & 0 efr}] oO [nr t | o Sf] 2] & | oS saz2x% = aie) 888 % o|< O 1 OQNE 42.64% = + wl Group Groth Toral 00 oo 450 460 2p he zs ke woSQS% Qeds5S0 GOVERNMENT OF ANDHRA PRADESH DEPARTMENT OF MUNICIPAL ADMINISTRATION, Dos eS ogra MEDICAL & HEALTH DEPARTMENT B88 dd Oso BIRTH CERTIFICATE we Certiticate Id: 52220-B-2045 BSS doom SAMcY spew 1969, 12/17 Derriaw Yodaw wodVde Bd Aide Sdrco Duodse 1999,8/13 Qucss dod arb dabwdasa, (Issued under Section 12/17 of the Registration of Births and Deaths Act 1969 and Rules 8/13 of the Andhra Pradesh Registration of Births and Deaths Rules 1999) > eSB TYED Meurer mourd sédrud aeg dagad aurdé 20 (PPOs GAtSH) ws Oa S'D Bards ‘ewodoDs wde OSD Avod,Jod AAarEraD SwEADASAD GOsoodcDsd. ‘This Is to certify that the following information has nen taken from the original record of birth which Is in the ‘register for(local area / loca! body) REGISTRATION UNIT 20 OF GUNTUR MUNICIPAL CORPORATION OF GUNTUR DISTRICT OF STATE OF ANDHRA PRADESH - ba / Name GOGULA NIHAARIKA 1 [eersi/ Sex FEMALE | “ope 86 / Date of Birth (DD/MM/YYYY) [06/09/2014 ZERO SIX ZERO NINE TWO ZERO ONE FOUR AS Bose / Place of Birth VIJAYA HOSPITAL AMARAVATHI ROAD LODGE CENTER GUNTUR ‘99 S29/ Name of Mother GOGULA PADMA. ‘ed / a Sea | Name of the Father/HUSband| GOGULA SIVANNARAYANA \, [eeeias adage aaa AaaresH £ [ofthe parents at the tim of bith of Chid (. [elsaae patwraw domar/ Permanent addrasd 6¢ paren Bre sons) Registration Number a8 __ [Sra 3a/ Dake of Registration etd D NO 19-9-123, ETUKURU ROAD GANDHI NAGAR GUNTUR -522003 D NO 19-9-121 ETUKURU ROAD GANDHE NAGAR GUNTUR -522003 coonmmsyren 39/10/2014 e ares) Remarks ———_ -—-- = ~~ |aayasszo1a Leoprmayrrny NA Not available. Application No: YA EONIOLIE OOS TE ae Name : Dr. ¥ Rajendra Prasad Registrar of Births & Deaths GUNTUR MUNICIPAL CORPORATION Date : 23/13/2014 GUNTUR DISTRICT fe = This Is Digitally Slaned Certineate, does not require physieal signature. And this certificate can be verified at {| hp: 1) wa ap.meeseva.govin/ by furnishing the application number mentioned in the Certificate. 4 e ‘ z » = s a ) e VU ITED RD Sov. “4

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