SUPE 9478 vs
Government of Tamil Nadu Loa
Lieut stator. 5
(8581-8 wi unié)
Department of Municipal Administration & Water Supply
BIR A CERTIFICATE
(issued Under Section 12/17 ofthe Registaion of Aprhs and Deaths Act. 1969 and
Rule 8 of Tamil Nadu Registration of and_Deaths Rules 2000) 1
Thi te Certify thatthe following information has been taken
wom the original record of Birth which is the register for (Local Area) 4
Division (1), VEERAPPANCHATRAM MUNICIPALITY of Taluk |
ERODE of District “7 ERODE }
of State TAMILNADU. ° f
ShSswin sancdacr sper wmBeod wo |
tren Lab rGor@ axLis |
Silay reer 1, eSpusired Sind eysiromixfloma pesmm’ Aeows Corie i
S10) SDL YE UPCau pA Gig) s1OSocuLL one ers aarp apni aliuGéngy. i
Name / Guu + SLespmig
Sex / ureSlemis 2 Qysior » I
Date of Birth / Unis G58) + 25-10-2006 }
a 5
Place of Birth / pis Qi 3 64M wiSlehl esmbaréseri ri
Buy peerions enavef
" Com
Name of Father / sipengueot Quit 2 6Slgurest
Name of Mother/ gnuSler Quaust 2 Sauer
Permanent Residential Address of the Parents Vemimrés
smb Seengumler Penson EO (pes = Ea ellen
Bus, wéerias eneve
wGor@
Adddsess of parents atthe time of bisthof the child g/t i949 eiierdics f
yang Sipasiesr Gungy smil seem puSTesr upescutl *
Bus poate’ enereih I
aC
Registration No. / uslsy sretor : 254/2010/1
+ 28-05-2010 j
yy (a
orn 0
ems@usmiu
Spoy, Mody vseumere
Milumepsré waren sow
Add ERE le TRUAR Authority