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FORM NO:5
(See Rule 8)
GOVERNMENT OF KERALA
BIRTH CERTIFICATE
(issued under Section 17)
This is to c_ertify that the following information has been
taken from the original record of birth which is in the
z_ __o_f__
register for ( Local Area )__2_00_ '{a_z)1a._ p-f2ill.l~- - -
. Gp- a me; Panche.. ~_a__t_ __w __ _ __ __,,.:1---
of Tahsil C ba Y)8Q D <>-.(,~ '>''o5-( of Dist_£i ct K.0ti:c:H1 a tr)
of Stat§? Ke rtq,, la'
-
Name . f<.ARTHIK SANKAR.
fvla{e.
Sex
Date of Birth
9 -5 2\00 L ( tJt'nlt _ Ma 3/- I 6..1T:! !/ioWJun.d
hue),
Place of Birth = S+: 1homcvJ Hospdal , Cwln/pc{tM.
Name of Father R -Rcuesh-
Name of Mother ~. R_qJonr'
Registration No, 9.q5/2oaL
Date ot Registration !(3 ·!i · 200 7-

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· Compared by: ,1.,-attt •·

Date: !8·/0• 0 2-
~·pui,., '.3 -..,J., ..;>·,,,,ta,,- -6-
c:f(e3t,fon of !BM-'..1. ,._ ,.J lJ.."),a.t{
VAWAIPJJJ.Y GRMVi PNICHAYA1

cEmA AL EXCISE
THi r.JUTHANGL R.I\ NGE.
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