B54775581199736454/2022

Zone 10 Division 131

Name
Sex Male
Date of Birth 24-JAN-2022
Name of The Mother MALLA VIJAYA LAKSHMI SANDHYA

Name of The Father MALLA MADHU SUDAN

Address of Parents at the time of , GAVARA PETA, DAGGULURU,, PALAKOL MANDALAM, PALACOLE, WEST
Birth of The Child GODAVARI, , PALAKOL , ANDHRA PRADESH - 534260

Place of Birth K.M. SPECIALITY HOSPITAL NO.453/454, R.K. SHANMUGAM SALAI K.K. NAGAR,
CHENNAI -600078

Permanent Address Of the Parents GAVARA PETA, DAGGULURU,, PALAKOL MANDALAM, PALACOLE, WEST
GODAVARI,, PALAKOL, ANDHRA PRADESH -0

Registration Number B-2022:33-16457-000042

Date of Registration 25-JAN-2022
Remarks
Date of Issue 27-JAN-2022

Signature Not Verified

Digitally Signed by RAMESH131
Date: 27-Jan-2022 (12:33:00)

Registrar of Births & Deaths,

27-JAN-2022 Division :131 Zone : 10
Greater Chennai Corporation

The authenticity of this certificate can be verified at www.chennaicorporation.gov.in.

The Registration Number is unique to each birth. Ensure Registration of every Birth and Death