True English Translation

Issued Free of Charnge

Registration B1
bn No.: 3528
State Emblem of the Democratic Socialist Republic of Sri Lanka
SRI LANKA
botutequeacl REGISTER OF BIRTHS oln od ionru
Births and Deaths Registration Act (Cap.110)
District: Matara Division: Matara Town
16th day of March 1997 (Ninety Seven)
1 Date and Place of Birth
General Hospital Matara
2 Name Sureka Kumari

3 Sex Female

full namne Anuruddha Modarawana

date of birthoit 07th day of November 1943(Forty Three)

Father's placeof birth s1eWalasmulla o 2'1s112190 ordait 2

race Sinhalese hlido birdT

rank of profession Asst. Director of Planning g0) 1A

full name Agalabada Gamage Leelawathie

date of birth 04th day of June 1955 (Fifty Five)

5 Mother's place of birth Middeniya

race 0 321 to Sinhalese 0 e pgir2eilsti.d

wulrisiol2\ dailana
age Forty Two Years Old (42)

6 Were parents married?

Yes (Married)

his full name Kankanam Gamage Bastian

If grandfather
7 born in his year of birth Not Known
Sri Lanka

his place of birth Walasmulla