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AP11 79637762
“ GOVERNMENT OF ANDHRA PRADESH
REVENUE DEPARTMENT.
Application No
q 1) QC
6011713222096
- 5 Date : 24/06/2017
COMMUNITY NATIVITY & DATE OF BIRTH CERTIFICATE.
1 This is to certify that the Sr/Snmathi/Kuman P SURESH S/o / D/o / M/o/ Flo / W/o / H/o / C/o Sn. B
MUNASWAMY REDDY of MATHAKAMUDI village / Town of Sullurpeta Mandal of Sri Potti Sriramulu Nellore
District of the State Andhra Pradesh belongs to Pallikapu-SLNo-1(BCA) Community / Caste which is
recognized as Backward Class under i)G.O.Ms No.1793, Education, dt.23.09.1970 as amended from time
totime
2.Tt is certified that the Sri/Srimathi/Kumari P SURESH is a native of MATHAKAMUDI village / Town of
Sullurpeta Mandal of Sri Potti Sriramulu Nellore District of the State Andhra Pradesh,
J's certified that the place of Birth Sr/Srimathi/Kumari P SURESH is of MATHAKAMUDE village / Town
of Sullurpeta Mandal of Sri Potti Sriramuly Nellore District of the State Andhra Pradesh,
4.It ts certified that the Date of Birth Sri/Srimathi/Kumari P SURESH is 04 Day January Month 1996 Year
(in Words) Zere_One = January - One Nine Nine Six as per the declaration given by his/her
Father/Mother/Guardian and as entered in the School records where he/she studied
Certified By
CEDUKONDALU
“Designation : TAHSILDAR,
i / Mandal : sutlurpeta
Note : This Digitally Signed Certfieate, does not require physical signature. And this certificate can be verified at
hitp-/ovinw ap mecseva gow in/ by furnshing the appileation number mentioned inthe Certicate,
‘upupasp meeseva gov in/APSDCPortal/UserInterface/citizen/RevenueServices/IntegratedCertificate.as... 30/06/20
Mate: This is a Digitally Signed Certificate and does not require physica signature. This certificate can be verted
‘in! by furnishing the application number mentioned in the certificate.