12532310160266003517

Office of Tahsildar Bhandara

Ref 1: G.R.P.& S.D. No.1586/34­D, Dated 17.5.1951
Ref 2: G.R.GAD No. Mis.31/76­Desk­xxxll, Dated 25.8.1977
Ref 3: शा.िन.सा.प.िव.क.डीएमसी.1087/9698/ 608 ­ 32. Dated 2.1.1989

Serial No : 40394459224
District : Bhandara

Certificate of Age, Nationality and Domicile

(Issued by Authorities in the State of Maharashtra)

On submission of the proofs noted below, it is hereby certified that, Kumar Arabh Sachin
Nandagawali R/O Indira Nagar, Sawari, 511, VTC, Village Sawari Jawharnagar City, Tehsil Bhandara,
District Bhandara was born on 16/10/2008 (Sixteenth of October in the year Two Thousand and Eight) at
Shahapur City, Tehsil Bhandara, District Bhandara in the State of 'MAHARASHTRA' within the territory of
INDIA and he is a CITIZEN OF INDIA and has domiciled in the State of Maharashtra.

PARTICULARS OF PROOFS SUBMITTED

1 . Ration Card
2 . Aadhaar Card
3 . PAN Card
4 . Aadhaar Card
5 . Electricity Bill
6 . Water Bill
7 . Property Tax Receipt
8 . Water Bill
9 . Ration Card
10 .Electricity Bill
11 .Property Tax Receipt
12 .School Leaving Certificate
13 .Other Birth Certificate
14 .Self­Declaration

Digitally Signed by
Vinita Lanjewar
Date:2023-10-20 2:45:50 PM

Place : Bhandara Tahsildar / Taluka Magistrate

Date : 19/10/2023 Bhandara

This is a digitally signed document, hence is legally valid as per the Information Technology (IT) Act, 2000.
To verify visit https://www.mahaonline.gov.in/Verify OR SMS “MH<space>CSC<space>VRFY<20 digit Barcode number>” to 166 from a BSNL, MTNL, Tata Mobile and
51969 from others.