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Page 1 of 1 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/

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