Government of Tamil Nadu (22d COIMBATORE CITY MUNICIPAL CORPORATION TRANSLATED VERSIORBIRTH CERTIFICATE Ne 155271 kd under Section 12/17 of the Registration of Birth and Death Act, 1969 and Rule 8/13 of Tamil Nadu Registration of Birth and Doath Fuules, 2000) Tits 1s to certify that the following information fas been gxfen from the orginal record af ‘birth which 1s. the regter for (Ward) of Coimbatore City Mumcqpal Corporation of Combatore ‘Distrut, Tamafnadu State, Fpenddn. pecdoan gAipen® wife CanuidrysgsM neicib, Camubysgnt wnpagndl eINneLe Gon, Siac MIpGYyO VACALYD Ey! ABSasUCLEDE come eneinpBysi> mUTUBLUG AE. SSAMRIDHE Name / @uusit FEMALE Sex / uneStesnb Date of Birth/ Umis, on Place of Birth / Sipyiys sub Name of Father / grsemguSlear Quusit : B. SABARIGIRI 17-MAY-2016 KMCHI LTD. AVINASHI ROAD, COIMBATORE, Name of Mother / guste Quuait : B. MENAKADEVI Permanent Residential Address of the Parents / 28 emis pioneullen Pescownon 6 apesout “ ET K PUDUR THIMMANKUTHU PO, POLLACHI,COIMBATORE - 642005 Address of Parents at the time of birth of the Child / peop Diy Gangs pis _ 8B, K PUDUR _sipcmpsuSicir apesout THIMMANKUTHU PO, _.POLLACHI,COIMBATORE - 642005 ow Cre 1523. 27-MAY-20 16 Registration No. / usay ecéor Date of Registration / uy (Pins os ture Of issuing Authorny> eee een efeninabaunin GAN NO \ ENSURE REGISTRATION OF EVERY BIRTH AND DEATH IMG / BOUYL UBoHlenosr o-yP oaisel ee) LOL Date of te. - AsnG imac, Goh