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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 : 413731393490
District : Aurangabad

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, Kumari Onkar Vaibhavi Gautam
R/O F­10, Sara Vaibhav, Jatwada Road, Village Aurangabad (Municipal Corporation.), Tehsil
Aurangabad, District Aurangabad was born on 01/02/2001 (First of February in the year Two Thousand
and One) at Gadana, Tehsil khultabad, District Aurangabad in the State of 'MAHARASHTRA' within the
territory of INDIA and is a CITIZEN OF INDIA and has domiciled in the State of Maharashtra.

PARTICULARS OF PROOFS SUBMITTED

1 . SelfDeclaration
2 . Beneficiary SchoolCollege Leaving Certificate
3 . Applicant Residence Certificate Issued By Tahsildar
4 . Electricity Bill
5 . Aadhaar Card
6 . Other UID

Digitally Signed by
Vijay Laxman Chavan
Date:2021-11-30 12:08:04 PM

Place : Aurangabad Tahsildar


Date : 30/11/2021 Aurangabad

Printed By ­OMTID : VLE Name :JMKSetuAurangabad, Date:30/11/2021 10:51AM


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.

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