ed For to. 5 ally @ apn GOVERNMENT OF TAMIL NADU ponnat D1 Biornaaie iyo egy i anypuinasd groom DEPATTTWENT OF MUNICIPAL ADIISTRATION ANO WATER SUPPLY AN ayant A ‘MUNICIPALITY Umriny au stgSlonsp | BIRTH CERTIFICATE (Rr ein ning Bey a0 in 196i Bly 1217 ws m1 Gypiny yoy offs 2000 0.0. yp onpsinsni@Oagn) Neysiy KRISHNAGI yon in, 3 Gow (ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 2/13 OF THE TAMIL NADU REGISTRATION OF BIRTH AND DEATH RULES 2000,) Aipavin prods Bihan, pind weslare, Dgsgen0 wow Li, MespemdN ows io, Noy 3 Ogsiyen’h pian Gv ya rnin Oa" Seysy AANA evar sr ai pA! 1Wis 1S TO CERTIFY THAT THE FOLLOWING INFORMATION HIAS OEN TAKEN FROM THE ORIGINAL RECORO OF BIRTH WHICH IS THE REGISTER FOR DIVISION = 3 - KRISHNAGIRI MUNICIPALITY OF KRISHNAGIRI TALUK OF KRISHNAGIRI CISTRICT OF TAMIL, NADU STATE, INDIA ame Guns SEXIeunBonie FEMALE Juicy Garwusitn. PLAGE OF aIRTH FAA Bt ERIVINAYAGA NATY HOME KRISHNAGIRI 648 A, SALEM MAIN OATEOF BIRT 799 2 3052020 ROAD, KRISHNAGIR! THREE = AY -TWO THOUSAND TWENTY Lf eSiyrarsn wai Gugy imgigianeunen, eysyoorDM, 64861 Broo ioe GreG, gare NAME OF MOTHER (pn u Guan NAME OF FATHER popu Set [SENBAGAVALLIST ‘GOVIDARAINT MOTHER'S UID NUMBER / rus gyn at FATHERS UIO NUMER Maianpuir quae ato [ADORESS OF PARENTS AT THE TME OF IRTH OF THE CHLOY PERMANENT ADDRESS OF PARENTS / Gyhep puter Burge CupGnrder ypsaul GusGoeNer Briar esau? KALVEHALLL NARAYANANKOTTAL KRISHNAGIRL KRISHNAGIRI, _KALVEMALLI, NARAYANANKOTTAL, KRISHNAGIRI KRISHNAGI {Tami NADU 35101 ‘NADU “638101, Mopiqamdih, Hegsyanl, pina ~ 695101 a dlgsnamd , Desivon ON gBijo@ - 635101 REGISTRATION NUMBER 410) si DATE OF REGISTRATION (say Ons 0. 227082020 18-2020:33-993-001213 EMA I Signature Digitally Signed by MLC DOATE OF ISSUE Jenin pci 297042021 Date 29-Age2 YAU 1 {SSUING AUTHORITY JoncigSauh peo ose oar seat eae mena gn -megacounmtencommcocennone | OS Nt Le eer NS Gorey eh Gp fay Orda» yf andl ENSURE RISTRATION OF EVERY BIH AND DEAT uarsresaom