i iui eaco1zi4is3560% Date : 15/04/2021 eee c} COMMUNITY , NATIVITY & DATE OF BIRTH CERTIFICATE Asaloalocls ce 1.This is to certity that the S1i/Srimathi/Kumari GORLE KUMAR SAI S/o f D/o / Mio / Fa / Wiof Hla / (> Cfo SH. GOVINDA RAO of JAGANNADHARAJA PURAM village / Town of Ranastatam Mandal of Srikakulam we District of the State Andhra Pradesh belongs to Turunuknnus or Golulnknpus:Sl.Me-20(RGB) Community / To} Caste which is recognized as Backward Class under 1)G-O.Ms No.1793, Education, of,23.09.1970 as ak amended from tme to time . Locality/Landmark of District of the State Andhra Pradesh. 3.10 Is certified that the place of Birth Sri/Srirhatni PURAM village / Town of Ranastatam Mandal of Stikakulam District of the State Andhra Pradesh, 4.1t Is certified that the Date of Birth Sri/Srimathi/Kumari GORLE KUMAR SAI is *2ese0» Day sssass5 Month #828 Year (in Words) asesee seeeaue, seesens as per the declaration given by his/her 4 Father/Mother/Guardian and as entered in the School records where he/she studied. Certified By fae Name + MALTHI SUDHA RANK OP Designation : TAMSILDAR i Man tala ey Note : This ts Digitally Signed Certificate, does not require physical slgneture, And this certificate can be vesified at Hips //wwe.ap.meeseva.govin/ by furnishing the application pumber mentloned In the Certificate Note: This is. Digitally Signed Certificate, does ot require physical signatira. And this bertificate can be veniied al www gramawerdsachivilayam.ep.gav in by furnishing the application number maniioned in the Gerliicate