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(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8113 OF THE
‘TAMIL NADU REGISTRATION OF BIRTH AND DEATH RULES 2000,)
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THis 16 TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGNAL RECORO OF BIRTH WHICH 1S THE
REGISTER FOR TIRUNELVELI CORPN UNIT” 13 OF PALAYAMKOTTAI TALUK OF TIRUNELVELI DISTRICT OF TANRL NADU STATE,
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DATE OF oar a oy) l| ‘SMS HOSPITAL, PALAUAMKOTTAL
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NAME OF MOTHER rater Quit NAME OF FATHER genni Qui
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‘ADDRESS OF PARENTS AT THE TIME OF GIRTH OF THE CHLD/ PERMANENT ADORESS OF PARENTS
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DATE OF REGISTRATION /uplay sys Sp) 20081023
REGISTRATION NUMBER uy err
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RERARS IF ANN yon
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May 2003840
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ISSUING AUTHORITY rece enefnent
REGISTRAR (BIRTH & DEATH)
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