TAHSILDAR OFFICE - VIJAYAWADA URBAN
KRISHNA DISTRICT, A.P - 520 003
6902 Appl. No: 2009 1216 Data: 30-06-2009
COMMUNITY, NATIVITY AND DATE OF BIRTH CERTIFICATE
ty This
Sat/Kun ~GANUGULA. S¥AM KUMARS# #4
-NAGENDRA PRASAD G.##### of village/town
WARD-45 ( H.No. 6773-2 )s###4 dal “VIJAYAWADA URBAN ####
District -KRISHNA®+##« (te of Andhra Pi
Son/daughte
\desh belongs to
-VISWABRAHMIN (SL.NO.-21) #444 community which is recognised
as “BCRYEEH® un
The-Gonstitution tscheduied Casteat Order 950
Fhe Constitution tSehedwied Tribes} Secor 195
G.0.Ms. No. 1793, Education, dated 25-9 - 1970 as amended from time to
tine (B.Cs} 3.Cs, S.Ts , list ( Modification ) Order, 1956 3.Cs and 3
(Amendment) Act. 1976
2) Tt is certified that Sri/sme/Kun ~GANUGULA SYAM KUMARS# ++
is a native of -WARD-45+ee# village/town
VIJAYAWADA URBAN###** Mandal -KRISHNAS###+
pistrict
of Andhra Pradesh.
3) Tt is certified th
the place of birth of sri / smt / Kum
“GANUGULA S¥AM KUMARE###* is -HARD-a5+#4#:
Village/Town “VIJAYAWADA URBAN# ++ Mandat
KRISHNAYES#® District of Andhra
4) It is certified that the date of birth of | sri/ sme/ Kum
-GANUGULA SYAM KUMARS###+ is
Day -2aveeee Month ~ geteee Year - 1991tee++
(in words) = Two Fourt#### —_-Septembert +++ - One Nino Nine Onot#**
as per declaration given by
in the school records where,
wer/nother/guardian and as entered
(Seat) 5
“VYfsm capital Letters TAHSHL DAG
of VIJAYAWAUA URBAN
oN)
hy
0617200901173 pe$ignation:
& G. Syan tome’