GOVERNMENT OF ANDHRA PARADESH

MUNICIPAL ADMINISTRATION
NALGONA MUNTÜIPALITY
CERTIACATE OFBIRTH
$JkdUnder ) pf the Registration
301 SckoR 12 of Births and Deaths
No. IsstRs trisrl Act. 1969
Section - 17
This is to Certify that thefollowing information has
been taken from theoriginal record of Birth which is in
the register for (LocalArea) of Municipality Nalgondu of
District Nalgonda, State Andhra Pradesh.
Name
RUSHIk
Sex MALE
6-lR-RooS Registration No.
Date ofBirth 26-IR-K003_ 3I80

Place of Birth MALG0NA Date of Registration 9-01-2oo6

Father P. KAMESHWAR RAO
Name of
P.SUNITHA
NameA
Seat
Signature of lssuing Authority
Dats
Birth &Death Register, COMMISSIONER
Nalgonda Municipality. Nalgonda Municipality.