MR No 551 /0i-0,i.

t)alc:r) 1/,200g

GRAMA PANCHAYAT - }<AT{IGIRI

FOItM.5
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I]I I{TH C Ti ITT'I FI CATN'
SSt I I) I \t)l,tt sl ( |.)\ l.t lr)

This is certify that the following tnformation has been taken from the oriqinal record o{ birlh

which is the register for (Local Area) KANIGIRI of lr,ilandat KANIctRI of Drstrict PRAKASAM of

State Andhra Pradesh

Nrrrnc \rll\ti,\1',\ I:,t).,\' L\t'\ Iit,lr)l)\' ti()\l)t ,))t))

Scx ]\IAI,I,,

I)a1.r: ol'Ilirth 25/OAt I9i2 (]'\yUNt\ I I ]rl r I_Ul (I II 1 -\ I \1,1.1l.l\ st,i\ r.l \'1..,
'f$'( ) )

I)lrrcir oi l] ir'1h IT,\\ I( IIII I

Nrr nrl r-rl I hc l,'at hcr VliN ti,\l't.isw/\ ti.\ lt i.t l) t)\ . IiON I ) I i t.t t)t)\

lirr ir r. o1' tho .\,1or,hi:r, lio'l'l.ls\\',\ iiA.\1 ] I \ li( ) \" I i I? l,l | ) i ))

Ilr:gish ation No 9:

I);rtc ol' ltlgrstlalrolr : 2l|/0l/200

T

l):r tr: i, r (l:l/200,! o :-iiqar It

o/ot Dt ) tla'lh4tl t )tr.a*tt,
( PraL o"or[ T UL \A7"
o\ fiaittG'IRI
f,A ruro \$\