GOVERNMENT OF KARNATAKA

ONLY FOR BIRTH VERIFICATION PURPOSE

This is to certify that the following information has been taken from the original record of birth which is the register for
Vijayapura (village/town) of Vijayapura taluk of Vijayapura district of Karnataka State
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Name PRANAV BANKALAGI Sex Male

 IUU®eSŸeĸsCh 15/03/2023  IUU®eScÄ_ Basanagouda Patil (Sunaga)

Memorial Hospital,
Date of Birth Place of Birth
Vijayapura,Vijayapura,Vijayapura,Kar
nataka
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Name of Mother ROOPALI TAMBE Name of Father SHRINIVAS BANKALAGI

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Address of parents at the -, Permanent address of Mashyal, Indi,Vijayapura,Karnataka
time of birth of the child: Vijayapura,Vijayapura,Vijay parents:
apura,Karnataka
 £lisxSĥcx‘lÍ 803051/T/B/2023/004472  £lisxSĥŸeĸsCh 23/04/2023
Registration No.: Date of Registration:
 bªe ©e`ƒ¡eT\h6SÅĹÐ  VΨePVQÎĪsģS 25/04/2023
Remarks(if any) Ĩ£exB
Date of Approval
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Signature of Issuing Authority Address of the issuing authority

Vijayapura, Vijayapura Taluk, Vijayapura District

Digital Signed YES