GOVERNMENT OF ANDHRA PRADESH

REVENUE DEPARTMENT
Application No  

CGC012143343712  
Date : 02/07/2021  

COMMUNITY , NATIVITY & DATE OF BIRTH CERTIFICATE

1.This is to certify that the Sri/Srimathi/Kumari THOTA SUBBALAKSHUMMA  S/o / D/o / M/o / F/o / W/o / H/o / C/o Sri.
Subbanna of TALLAPAKA village / Town of Rajampet Mandal of Y.S.R. District of the State Andhra Pradesh belongs to Balija-

(OC) Community / Caste .

2.It is certified that the Sri/Srimathi/Kumari THOTA SUBBALAKSHUMMA is a native  of TALLAPAKA village / Town of
Rajampet Mandal of Y.S.R. District of the State Andhra Pradesh.

3.It is certified that the place of Birth Sri/Srimathi/Kumari THOTA SUBBALAKSHUMMA is of TALLAPAKA village / Town of
Rajampet Mandal of Y.S.R. District of the State Andhra Pradesh.

4.It is certified that the Date of Birth Sri/Srimathi/Kumari THOTA SUBBALAKSHUMMA is 01 Day January Month 1963 Year (in
words) Zero One - January - One Nine Six Three as per the declaration given by his/her Father/Mother/Guardian and as
entered in the School records where he/she studied.

Certified By

Name : N Ravishankar Reddy

Designation : TAHSILDAR
Mandal : Rajampet

Note : This is Digitally Signed Certificate, does not require physical signature. And this certificate can be verified at http://www.ap.meeseva.gov.in/
by furnishing the application number mentioned in the Certificate.
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