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GOVERNMENT OF ANDHRA PRADESH
REVENUE DEPARTMENT
‘Application No
(CE
6067331277
Date : 22/07/2013
COMMUNITY , NATIVITY & DATE OF BIRTH CERTIFICATE
A.This is to certify that the Sri/Srimathi/Kumari BATHULA SANDEEP S/o / D/o / M/o/ F/e | W/o / H/o /
C/o Sri. BATHULA ANJANEYULU of SIRSILLA (R) village / Town of Sirsilla Mandal of Karimnagar District
of the State Andhra Pradesh belongs to Padmasali-SI.No-17(BCB) Community / Caste which is recognized
‘85 Backward Class under 1)G.0.Ms No.1793, Education, dt.23.09,1970 as amended from time to time.
2Jt is certified that the Sri/Srimathi/Kumari BATHULA SANDEEP is a native of AMBIKA NAGAR
Locality/Landmark of SIRSILLA (R) village / Town of Sirsilla Mandal of Karimnaaar District of the State
Andhra Pradesh ¥
3.lt Is certified that the place of Birth Sri/Srimathi/