B4383523979/2011

Zone Name Sex

02

Division

022

Male 30-AUG-1991 -

Date of Birth Place of Birth Name of Father Name of Mother Permanent Residential Address Address of Parents at the time of Birth of Child Registration Number Date of Registration Date of Issue

MANOHARAN PADMA 122, PUNTHOOR PONNERI TALUK,M -

1991/02/022/007161 31-AUG-1991 03-SEP-2011

03-SEP-2011

Note : This certificate is computer generated and does not require any Seal/Signature in original. The authenticity of this certificate can be verified at www.chennaicorporation.gov.in. The Registration Number is unique to each birth.