Tr WOIQGO GIN MEDICAL & HEALTH DEPARTMENT BSS Gos Sieseiv BIRTH CERTIFICATE 50020-B-233899 TS SoGeo SSrdy SHS 1969,12/17 Dery WSSSo COGS ads Lobe SSre Awodser #2999,8/13 20d God arb Baadsd. ig1ssued under Section 12/17 of the Registration of Births and Deaths Act 1969 and Rules 8/13 of the [2 andhra Pradesh Registration of Births and Deaths Rules 1999) Ks BOOST TSW thotard ST Dofarsbo QUro¥ Soiso (TLS WHA») 5S Sage SD basssand$ HoDOSODS wen OS 04,800 SSrTrdSw SWESOGSHSD SyHSHOGSBSS, b “This sto certify that the following information has been taken from the original record of birth which is in the register for(loca area / loco! body) CHILAKALURIPET MUNICIPALITY OF GUNTUR DISTRICT OF STATE OF ANDHRA DESH 5c / Name ‘GORANTLA JYOTHSNIKA DoASo/ Sex FEMALE Ks 23/07/2013 Sabah 2 / Date of ath (ODIMTEEN fa ee ee gS Goss / Pece of 6th AYA NU {LAMANDIR BACK SIDE CHILAKALURIPET Do / Name of Mother (GORANTLA SRAV WY SoiB/HS DH / Name of the ey alte huis cone a siaheliss sso DG Adjoossya sO Sooo D&D / Hf Address of the parents at the time of Birth} DNO 6-82 VEERANNAPALEM VLG PARCHURU MDL PRAKASAM DIST of Chis SOsaubo POTIy OOS Permanent Address of parents Sac Som Registration Number | 3043 J Senco 34/ Date of Registration (oom) Gasrdoz.00/ Remarks REGISTERED ub Shs BS / Date Of Issue 04/08/2021 DNO 6-82 VEERANNAPALEM VLG PARCHURU MDL PRAKASAM DIST 07/09/2013 ‘Application No: ining UBCO12101367201 Date : 05/08/2021 CHILAKALURIPET MUNICIPALITY z GUNTUR DISTRICT Note : This is Digitally Slaned Certfteate, i te can be verified at /fwrwn.ap.meeseve.gov.ir/ By fumishing m Note:This isa Digitally Signed Certficate, does not require physical signature. And this cortical canbe verified al warn gramawardsachivalayarh ap gov in by fumishing the application number mentioned inthe Cerificate.