64

(Sen x 810
S. & Dup) 12/85
484
Application No. and Date 23-Sep.2015

SRI LANKA E, 2183

English Translation
Dpùq ubÐrJb
CERTIFICATE OF BIRTH

Serial No.
Mahamodara Gover-
nment Hospital Galle
Galle
District Division

Sixteenth or February 1988 (Eighty eight)

Date and place of birth
Government General Hospital - Maharnodara.

Name
Ernndhi Shashika
3. d' ë6te
Female

Ganwari Wimalasiri
full name

7-Aug-1956
Date of Birth

Father's I likkaduwa
place of birth

Sinhalese

Vocational Instructor
rank or profession

cyxg£J Qtaam Ganwari Punyalatha Wimalasiri

full name

date of birth 8-Feb-1958

5. @Oed
âetb
place of birth Kalupe
Mother's

Sinhalese

000
age Ãhirty years
6. @Ù8c-sd ?
Yes
Were parents married ?
@Ðed
Guam Ganwari Sadiris
his full name
7. g coded
J924
If grandfather born in Sri Lanka his year of birth

his place of birth AmbaJangoda

ð0 010363 (2001/03)
g 66'd 80 T. O.)
8.
full name
Obeca
ather born m Stil anka
year of birth
Ifthe father was not bormn Sri Lanka
and if great grandfather born in Sri
Lanka, the great grandfather's
place of birth

9,

GanwŽit•iWimalasiri Certified e chool ,

Informant's full name, residence, and in what capacity he gives (Father)
information

Sgd.illegibly
Informant's signature

First of March )988 (Eighty eight)

Date of registration
12. eó8dèobed
Registrar's signature Sgd.illegibly

13. ego
eOÐOO

Name inserted,orsubstituted,afterregistration

14, 13 q06•O
ðed

13 atoayh', 6t•ø

Name of person on whose information particulars relating to item 13

were supplied,and in what capacity he gave information

15. B3ee
e68d90bed G68d90b

Date of insertion, or substitution,and District Registrar's or

Registrar-General's signature

Translated b

A.J.tJ. Indika
Sworn Translator
Registrar General's Department
DI'trict Courtof Badull'
Sri Lank4

Oned
OpúqCJ(-JA96ð1

I do hereby certify that the foregoing is a true copy of a birth registration entry filed of record in this office.

Sgd.by. L.Liyanage

aeo ôOO 368890b

CID6VØa
DISTRIcr REGISTRAR'SOFFICE Addl. District Registrar.

e68d90b do,óod s68d90b

atrrnwn•ajlb
REGISTRAR-GENERAL'SOFFICE 'Asst. Registrar-General
I-Mar-1988
?TÆ/øa4/Date .
000 06€.
qøtraJW
Note-It is a punishable offence to make any addition or alteration in this certificate.