an = es Net wos SEE Vee ssn Ls GOVERNMENT OF ANDHRA PHADESHE — 364.0883 S8ain totnon Hols vm e DEPARTMENT OF HEALTH, MEDICAL AND FAMILY WELVARE RTH & DEATHS RULES (999) 66 Bian, woth Con 608 ar Spot 904, bod SasrErdan BOT SVASG Sy NVOSGDSO. ‘Ths 15 To CERTIFY THAT T {ob / NAME: CITALLA NAGALAKSHMI e076 Sows) AADIAR NO, HXXXHAX WR 968 6 | DATE OF mie on. 190 80 Sta) NAME OF MOTI CALLA SHESHA RATNAM wer Sows / MOTHERS AADIIAAR NO 2OTOTIKSE DG ayodisince SDGo\coen DEAT / ADDRESS OF PARENTS ATTHE. TIME OF BIRTH OF THLCHILD, KANCHIKACHERLA, KANCHIKAC sano LA, KRISHNA, ANDHRA PRADESH (Ske Hom, REGISTRATION NUMBER iam 1omne7.00877 DAPoMuI0D / REMARKS UF ANY) eb tis BO /ATE OF ISSUE Hie0n-22 1002.28 UPDATED ON 2a 0.02 28 ESIC” “INI6 S.A COMPUTER GENERATYD CERTIFICATE WHICH CONTAINS FACSIMILE SIGNATURE OF 1H STE CAIN OF INDIA VIDE. CHRUXAR MO, 1/122010-VSICRS) DATED 27ILY.OMS HAS, APYROWED THIS CHRTIFICATE AS A VALID LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES NGS wASin SB H6wss S5y%0m Srod' Src Fabod GRAMA PANCHAYAT GANDIGUNEA BSS Gass Hyebeso BIRTH CERTIFICATE (25s) dr6e0 sheen 0 199, 2/17 Devcon oS, OIG IE a SOW sebre DeoGSen 199, 4113606 sebSooGeSE) {ISSUED UNDE SECTION (217 OF TIP REGISTRATION OF MRT & DUTIES ACT. 1900 AND RULE W13 OF THE ANDITRA PRADESH REGISTRATION fs Sothern (IPDS eb) 5 ceo OB YEON adarD8 HODoBODs wisen Oot FOLLOWING INFORMATION HAS REEN TAKEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE REGISTER ;RAMA PANCILAYAT GANDIGUNTA OF TAHSILIBLOCK VUYYURU OF DISTRICT KRISHNA OF STATE/UNION TERRITORY ANDHRA PRADESH, INDI/ Doors SEX: FEMALE 59f95 Seo PLACE OF BIRT RANCHIACHERLA, KANCIIKACHIERLA, KRISIINA, ANDIIRA PRADESH s21180 Sab Bob / NAME UF PAIHEIE CCHIALLA CHINNA NARASIMIIARAO 2676 Som) PATIIENS AADIAAR NO ZOOS IHD S2cojcven aint, HOD DearS / PERMANENT [ADDRESS OF PARENTS: KANCIIIKACHERLA, KANCHIKACHEREA, KRIS PRADESH-521140, INA, ANDHRA, |Sairdy BA / DATE OF REGISTRATION: Teoos-2002 AL BONS wOS0 40880. ISSUING AUTHORITY (esi dade at, GENERAL PUBLIC (BIRTH DEATH GRAMA PANCHAVAT GANDIGUNTA, ISSUING AUTHORITY" ENSUIRE REGISTRATION OF EVERY HIRE ANE CNEROT E A