12532008101014378513

Office of Tehsildar
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 : 42021315438
District : Ahmednagar

Certificate of Age and Domicile

(Issued by Authorities in the State of Maharashtra)

On submission of the proofs noted below, it is hereby certified that, Kumari Borade Surekha Sahadeo
R/O ­, Village Hiwargaon Pawasa, Tehsil Sangamner, District Ahmednagar was born on 17/09/1979
(Seventeenth of September in the year One Thousand Nine Hundred and Seventy Nine) at Deolali
Pravara (M Cl), Tehsil Rahuri, District Ahmednagar in the State of 'MAHARASHTRA' within the territory of
INDIA and she has domiciled in the State of Maharashtra.

PARTICULARS OF PROOFS SUBMITTED

1 . UID
2 . Ration Card
3 . School Leaving Certificate

Digitally Signed by
AMOL VISHNU NIKAM
Date:2020-08-11 6:18:51 PM

Place : Sangamner Tahsildar

Date : 11/08/2020 Sangamner

Printed By ­OMTID :MH021800218 VLE Name :SHWETA ANIL KADHANE , Date:11/08/2020 5:23PM
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