17122, 2:45 PM https:/iwww.crsin.orgibirth_death_tr/CORPBIRTHTAMILIPDF/CORPBIRTHTAMIL_B-2020'33-16035-000024 him Lig aul erever Form No. 5 é oD SOG sigs GOVERNMENT OF TAMIL NADU Qurgy ssTEnnb log Combs SCLY WGHgIs BID DEPARTMENT OF PUBLIC HEALTH AND PREVENTIVE MEDICINE ATS WGSieunsH se, GMs sone GOVERNMENT HOSPITAL, KULITHALAI UMLY sr6srH1S Lp / BIRTH CERTIFICATE (ALY WMH QyLy usa si, 19696 vila, 1217 ODM SOpHGAG MyAy Omiy usley ose 2000 as} erste. 8/13 Oem 8p auprusLUGS Dg) (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE TAMIL NADU REGISTRATION OF BIRTH AND DEATH RULES 2000.) Spscm s5a0 ObHwr, sOponG wnPfleow, 6059 wracro, GNSZMO aro, GaNlg5mO s75 WESFAULMT Cops see UpUY USCA HONG Hg! THESSUULLeer cron sno SANS SLUGADS THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER FOR KULITHALAI GH TALUK HOSPITAL OF KULITHALAI TALUK OF KARUR DISTRICT OF TAMIL NADU STATE, INDIA, NAME / Quusg SEX / umTéSlemtb : FEMALE / Quetit B.VANDHANA /y.cuphgseo PLACE OF BIRTH /WiDS QL KULITHALAI GH TALUK HOSPITAL , KULITHALAL DATE OF BIRTH / Wins Gps) 7101/2020 ‘SEVEN - JANUARY - TWO THOUSAND TWENTY Gag Seno gis WGSHweran, Gos some sig% wEsgiaiomar NAME OF MOTHER / gmulleét Quist NAME OF FATHER / SibenguNln Qu SHANMUGAPRIVA | seinupeiuNwr BOOPATHI/ us) MOTHER'S UID NUMBER / mudi ays} cist FATHER'S UID NUMBER / sibengueir imi erst ‘ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD / PERMANENT ADDRESS OF PARENTS / Sphengs Nude Cungy Oumnfer wscus QubdConplen Hobs Wscuf 18/135, SEEGAMPATTY, KARUVAPPANAYAKKANPETTAI, PUTHUPATTI, 1/214, PERIVAPATTI, MARIYAMMAN KOVIL BACK SIDE, KULITHALAI, KARUR, TAMIL NADU -0 NAMAKKAL, NAMAKKAL, TAMIL NADU - 0 8135, SOUL, SGECALUBTUSSECULEL BOUL, 1/244, QUFWLULg, LoMPwidioss GasmeNed eiyLd, GaAs seo, HHH, SUNPHTO -0 BMossed , HMOs, SONHTG REGISTRATION NUMBER / UBtay ets DATE OF REGISTRATION /uiey Gass Gx): 08/0172020 B-2020:33-16035-000024 REMARKS (IF ANY) / @ 6104 DATE OF ISSUE / eupruSs get: 17/02/2022 ISSUING AUTHORITY / eres) s1efducus REGISTRAR (BIRTH 8 DEATH) ustureng (poy & BUY) KULITHALAI GH TALUK HOSPITAL GMS gee F175 WESgoUDsrer “THis IS A COMPUTER GENERATED CERTIFICATE” THE GOVT.OF INDIA VIDE CIRCULAR NO.1/12/2014:VS(CRS) OATED 27~JULY.2015 HAS [APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIA. PURPOSES. THE REGISTRATION NUMBER IS UNIQUE TO EACH EVENT™ “EIDoY lpg HDUY ual Geweuens = gy Oewelh) ENSURE REGISTRATION OF EVERY BIRTH AND DEATH” Jn nenihiah daath inIPADDRIDTUTAMI /DNEICARDRIRTHTAMI R.209-9.180%6.000024 htm