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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.
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