Capital Hospital

YSR TADIGADAPA MUNICIPALITY

ACKNOWLEGEMENT OF BIRTH REPORT
APPLICATION REFERENCE NO.: BA20212805462012IN-00o02
NAME OFCHILD Oofid/SEX n MALE
/ DATE OF BIRTH: e K w PLACE OFBURTH:
3-06-2021
TWENTY THIRD-JUNE-TWO THOUSAND TWENTY ONE CAPTAL HOSPITAL
o NAME OF MOTHER do /NAME OF FATHER
CHILAKAPATI UDAYA LAKSHMI GHATTAMANENI VAMSI KRISHNA
MOTHER'S UID NO eo6 Sou FATHERSUID NO.
3931 8908 0076 4505 3119 4507
Pvase ensure to get Barth certuficate against this reported event from Registrar/Sub-Registrar (Birth & Death),
1SR TADIGADAPA MUNICIPALITY (Penamaluru, Krnshna, Andhra Pradesb).
l a case the name of chid s not registered,.you are requested to get the name inchuded in Birth Register wathin one
ear of Registratuon and get Burth certihcate wth the name of Child.