GOVERNMENT OF KARNATAKA

ONLY FOR BIRTH VERIFICATION PURPOSE

This is to certify that the following information has been taken from the original record of birth which is the register for Attibele
(CT) (village/town) of Anekal taluk of Bengaluru district of Karnataka State
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Name DAKSHA KARTHIKEYAN Sex Female

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(CT),Anekal,Bengaluru,Karnataka
Date of Birth Place of Birth
562107

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Name of Mother NAGAVENI BASAVARAJ Name of Father KARTHIKEYAN GUNASEKARAN

 ZDhĻUIUUScZ[SĹÐ Karimangalam ,  Qx¡lŸeĵ[\‘e[x Karimangalam , Palakkodu,

Palakkodu, Dharmapuri, Dharmapuri, Tamil Nadu 635111
Qx¡lŸeĵ[\Ļ­ec Tamil Nadu 635111 Ļ­ec
Address of parents at the #5/101, Pachiganapalli, Permanent address of #5/101, Pachiganapalli, Thatra Halli
time of birth of the child: Thatra Halli Post, parents: Post, Kumbarahalli, Karimangalam
Kumbarahalli, ,Palakkodu,Dharmapuri,Tamil Nadu
Karimangalam 635111
,Palakkodu,Dharmapuri,Ta
mil Nadu 635111
 £lisxSĥcx‘lÍ 613359/T/B/2022/000055  £lisxSĥŸeĸsCh 25/02/2022
Registration No.: Date of Registration:
 bªe ©e`ƒ¡eT\h6SÅĹÐ  VΨePVQÎĪsģS 28/02/2022
Remarks(if any) Ĩ£exB
Date of Approval
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Signature of Issuing Authority Address of the issuing authority

Attibele (CT), Anekal Taluk, Bengaluru District

Digital Signed YES